Affordable Access

deepdyve-link
Publisher Website

Application of clockwise modularized laparoscopic lymphadenectomy in the suprapancreatic area, a propensity score matching study and comparison with open gastrectomy.

Authors
  • Yang, Hua1
  • Zhang, Wei-Han1
  • Liu, Kai1
  • Dan, Yu-Qing2
  • Chen, Xin-Zu1
  • Yang, Kun1
  • Chen, Zhi-Xin1
  • Chen, Jia-Ping1
  • Zhou, Zong-Guang3
  • Hu, Jian-Kun4
  • 1 State Key Laboratory of Biotherapy, Department of Gastrointestinal Surgery and Laboratory of Gastric Cancer, Collaborative Innovation Center for Biotherapy, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu, Sichuan Province, China. , (China)
  • 2 West China School of Medicine, Sichuan University, Chengdu, China. , (China)
  • 3 State Key Laboratory of Biotherapy, Department of Gastrointestinal Surgery and Laboratory of Digestive Surgery, Collaborative Innovation Center for Biotherapy, West China Hospital, Sichuan University, Chengdu, China. , (China)
  • 4 State Key Laboratory of Biotherapy, Department of Gastrointestinal Surgery and Laboratory of Gastric Cancer, Collaborative Innovation Center for Biotherapy, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu, Sichuan Province, China. [email protected] , (China)
Type
Published Article
Journal
Surgical Endoscopy
Publisher
Springer-Verlag
Publication Date
Mar 01, 2021
Volume
35
Issue
3
Pages
1465–1475
Identifiers
DOI: 10.1007/s00464-020-08070-w
PMID: 33030588
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Suprapancreatic lymphadenectomy is the essence of D2 radical gastric cancer surgery. The present study aimed to describe clockwise modularized laparoscopic lymphadenectomy in the suprapancreatic area. The data from gastric cancer patients who underwent surgical treatment from September 2016 to December 2018 were collected. Patients were divided into clockwise modularized lymphadenectomy (CML) and traditional open gastrectomy (OG) groups according to the surgical treatment strategy. The propensity score matching method was utilized to balance the baseline characteristics between the two groups. Finally, 551 gastric cancer patients were included in the present study. Following propensity score matching, 106 pairs of patients in the CML group and OG group were included in the final analysis. The CML group had more total examined lymph nodes (36, IQR 28-44.74 vs. 29, IQR 29-39.5, p = 0.002) and no. 9 station nodes (2, IQR 1-5 vs. 2, IQR 1-3, p = 0.007) than the OG group. There was less intraoperative blood loss (30, IQR 20-80 ml vs. 80, IQR 50-80 ml, p < 0.001) and a longer surgical duration (262.5 min, IQR 220-303.25 min vs. 232, IQR 220-255 min, p < 0.001) in the CML group than in the OG group. The incidence of postoperative complications (19.8% vs. 16.0%, p = 0.591) and postoperative hospital stay (8, IQR 7-9 days vs. 8, IQR 7-9 days, p = 0.452) were comparable between the CML and OG groups. Laparoscopic lymphadenectomy for gastric cancer surgery is technically demanding. Clockwise modularized laparoscopic lymphadenectomy in the suprapancreatic area can attain similar effects as traditional open surgery and without an increase in postoperative adverse events.

Report this publication

Statistics

Seen <100 times