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D2 dissection in laparoscopic and open gastrectomy for gastric cancer
Cui, Ming1; Xing, Jia-Di1; Yang, Wei2; Ma, Yi-Yuan1; Yao, Zhen-Dan1; Zhang, Nan1; Su, Xiang-Qian1
关键词Gastric Cancer Laparoscopy Gastrectomy D2 Dissection Lymph Node
刊名WORLD JOURNAL OF GASTROENTEROLOGY
2012-02-28
DOI10.3748/wjg.v18.i8.833
18期:8页:833-839
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Gastroenterology & Hepatology
资助者The Capital Medical Development Research Fund ; The Capital Medical Development Research Fund
研究领域[WOS]Gastroenterology & Hepatology
关键词[WOS]ASSISTED DISTAL GASTRECTOMY ; LYMPH-NODE DISSECTION ; RANDOMIZED SURGICAL TRIAL ; SUBTOTAL GASTRECTOMY ; CLINICAL-TRIAL ; INTERIM-REPORT ; COMPARING OPEN ; PHASE-II ; MORTALITY ; SURVIVAL
英文摘要

AIM: To evaluate the radicalness and safety of laparoscopic D2 dissection for gastric cancer.

METHODS: Clinicopathological data from 209 patients with gastric cancer, who underwent radical gastrectomy with D2 dissection between January 2007 and February 2011, were analyzed retrospectively. Among these patients, 131 patients underwent laparoscopy-assisted gastrectomy (LAG) and 78 underwent open gastrectomy (OG). The parameters analyzed included operative time, blood loss, blood transfusion, morbidity, mortality, the number of harvested lymph nodes (HLNs), and pathological stage.

RESULTS: There were no significant differences in sex, age, types of radical resection [radical proximal gastrectomy (PG + D2), radical distal gastrectomy (DG + D2) and radical total gastrectomy (TG + D2)], and stages between the LAG and OG groups (P > 0.05). Among the two groups, 127 cases (96.9%) and 76 cases (97.4%) had 15 or more HLNs, respectively. The average number of HLNs was 26.1 +/- 11.4 in the LAG group and 24.2 +/- 9.3 in the OG group (P = 0.233). In the same type of radical resection, there were no significant differences in the number of HLNs between the two groups (PG + D2: 21.7 +/- 7.5 vs 22.4 +/- 9.3; DG + D2: 25.7 +/- 11.0 vs 22.3 +/- 7.9; TG + D2: 30.9 +/- 13.4 vs 29.3 +/- 10.4; P > 0.05 for all comparisons). Tumor free margins were obtained in all cases. Compared with OG group, the LAG group had significantly less blood loss, but a longer operation time (P < 0.001). The morbidity of the LAG group was 9.9%, which was not significantly different from the OG group (7.7%) (P = 0.587). The mortality was zero in both groups.

CONCLUSION: Laparoscopic D2 dissection is equivalent to OG in the number of HLNs, regardless of tumor location. Thus, this procedure can achieve the same radicalness as OG. (C) 2012 Baishideng. All rights reserved.

语种英语
资助者The Capital Medical Development Research Fund ; The Capital Medical Development Research Fund
WOS记录号WOS:000301082700013
引用统计
被引频次:28[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/52680
专题北京大学临床肿瘤学院_胃肠肿瘤中心
作者单位1.Peking Univ, Canc Hosp & Inst, Key Lab Carcinogenesis & Translat Res,Minist Educ, Dept Minimally Invas Gastrointestinal Surg, Beijing 100142, Peoples R China
2.Peking Univ, Canc Hosp & Inst, Key Lab Carcinogenesis & Translat Res, Minist Educ,Dept Ultrasound, Beijing 100142, Peoples R China
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Cui, Ming,Xing, Jia-Di,Yang, Wei,et al. D2 dissection in laparoscopic and open gastrectomy for gastric cancer[J]. WORLD JOURNAL OF GASTROENTEROLOGY,2012,18(8):833-839.
APA Cui, Ming.,Xing, Jia-Di.,Yang, Wei.,Ma, Yi-Yuan.,Yao, Zhen-Dan.,...&Su, Xiang-Qian.(2012).D2 dissection in laparoscopic and open gastrectomy for gastric cancer.WORLD JOURNAL OF GASTROENTEROLOGY,18(8),833-839.
MLA Cui, Ming,et al."D2 dissection in laparoscopic and open gastrectomy for gastric cancer".WORLD JOURNAL OF GASTROENTEROLOGY 18.8(2012):833-839.
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