Objective: The aim
of this study was to evaluate the sufficiency of the surgical technique
according to the extended lymph node dissection in gastric cancer patients
(GCPs). We supported our findings with the determination of number of lymph
nodes (LNs) in lymph node stations with an autopsy performed on cadavers
without any type of cancer.
Method: 55 GCPs
were enrolled. Extended lymphadenectomy was performed on 23 autopsy cases as a
comparative group. Total gastrectomy and D2 dissection was performed as the
standard surgical approach.
Results: According to TNM classification, nine cases
(18%) were stratified to stage I, three (6%) to stage II, 22 (36%) to stage
III, and 21 (40%) to stage IV. The median number of excised LNs from the 55
cases was 47 (24-95), metastatic LNs were 15 (1-71) in patients. In the autopsy
group the median number was 72 (50-91). If D1 dissection had been performed
instead of D2 dissection in the 55 cases, the median number of excised LNs
would have been 24 (10–57) and metastatic LNs would have been 5 (1–45). If D1
dissection had been performed in the autopsy group, the median number of
excised LNs would have been 36 (20–49).
Conclusions: The
number of LNs harvested does not reflect the width of lymphadenectomy. D2
dissection must be performed stationary to achieve adequate extension of the
lymphadenectomy. Possible skip metastasis and stage migration will be also
reduced so that more efficient oncological results will be achieved.
Birincil Dil | İngilizce |
---|---|
Konular | Sağlık Kurumları Yönetimi |
Bölüm | Surgical Science Research Makaleler |
Yazarlar | |
Yayımlanma Tarihi | 30 Haziran 2019 |
Kabul Tarihi | 29 Haziran 2019 |
Yayımlandığı Sayı | Yıl 2019Cilt: 41 Sayı: 2 |