A randomized clinical trial involving 264 patients with early distal gastric cancer demonstrated that preserving the vagus nerve during laparoscopic distal gastrectomy significantly reduced the incidence of postoperative gastroparesis (0.8% vs. 7.6%) and gallstone formation (0% vs. 6.8%) compared to resection. Quality of life assessments revealed the vagus nerve preservation group experienced fewer nausea, vomiting, and eating difficulties at six and twelve months postoperative, indicating substantial benefits in maintaining stomach function.
Journal Article by Yan Z, Wei M (…) Yu W et 9 al. in JAMA Surg