Comparing the short-term outcomes of laparoscopic distal gastrectomy with D1+ and D2 lymph node dissection for gastric cancer
Introduction Laparoscopic distal gastrectomy (LDG) with D1+ lymph node dissection (LND) for early gastric cancer has been widely accepted. However, LDG with D2 LND for advanced gastric cancer remains in limited use. The aim of this retrospective study was to clarify the safety of LDG with D2 LND for...
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| Veröffentlicht in: | Asian journal of endoscopic surgery 2016-05, Vol.9 (2), p.116-121 |
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| creator | Goto, Hironobu Yasuda, Takashi Oshikiri, Taro Kanaji, Shingo Kawasaki, Kentaro Imanishi, Tatsuya Oyama, Masato Kakinoki, Keitaro Ohara, Tadayuki Sendo, Hiroyoshi Fujino, Yasuhiro Tominaga, Masahiro Kakeji, Yoshihiro |
| description | Introduction
Laparoscopic distal gastrectomy (LDG) with D1+ lymph node dissection (LND) for early gastric cancer has been widely accepted. However, LDG with D2 LND for advanced gastric cancer remains in limited use. The aim of this retrospective study was to clarify the safety of LDG with D2 LND for gastric cancer.
Methods
From January 2010 to September 2014, 296 patients underwent LDG; those who received D1+ LND (n = 230) or D2 LND (n = 66) were included in this study. The clinicopathological characteristics and short‐term outcomes of both groups were investigated and compared.
Results
There were no significant differences in the incidence of postoperative complications between the two groups. However, the frequency of infectious intra‐abdominal complications was higher in the D2 LND group than in the D1+ LND group. Additionally, a lower risk of infectious intra‐abdominal complications was seen with certified than with uncertified operators.
Conclusion
The evaluation of short‐term outcomes demonstrated that LDG with D2 LND is generally feasible. However, the risk of infectious intra‐abdominal complications is higher with D2 LND than with D1+ LND. Also, D2 LND should be performed by trained operators. |
| doi_str_mv | 10.1111/ases.12269 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_1785213179</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1785213179</sourcerecordid><originalsourceid>FETCH-LOGICAL-i3439-7601f29b2845c60d8cc620765193096f672234f8b4923061f8818b59c677e3403</originalsourceid><addsrcrecordid>eNpdkU1v1DAQhi0EoqVw4QcgS1yQqrQeO_HHsdp2C1LVHgqqxMXyOk7XJYmD7ajdA_8db7fsgbnMSPO8o5l5EfoI5ARKnJrk0glQytUrdAiikVWjgLze14QeoHcpPRDCBdTsLTqgXJKa1eQQ_VmEYTLRj_c4rx1O6xBzlV0ccJizDYNLOHS4N4UJyYbJW9z6lE2P703K0dkchg1-9HmNz-EYm7HF5xT3m2Fa4zG0bkunQvkw4i7EnaoMsWa0Lr5HbzrTJ_fhJR-hH8uL74uv1dXN5bfF2VXlWc1UJTiBjqoVlXVjOWmltZwSwRtQjCjecUEpqzu5qhVlhEMnJchVoywXwpUz2RH6sps7xfB7dinrwSfr-t6MLsxJg5ANBQZCFfTzf-hDmONYtttSNaPAeVOoTy_UvBpcq6foBxM3-t9jCwA74NH3brPvA9Fby_TWMv1smT67vbh9roqm2mnKg93TXmPiL80FE42-u77UP9lS3S2viV6wv_Lmlps</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1784321665</pqid></control><display><type>article</type><title>Comparing the short-term outcomes of laparoscopic distal gastrectomy with D1+ and D2 lymph node dissection for gastric cancer</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Goto, Hironobu ; Yasuda, Takashi ; Oshikiri, Taro ; Kanaji, Shingo ; Kawasaki, Kentaro ; Imanishi, Tatsuya ; Oyama, Masato ; Kakinoki, Keitaro ; Ohara, Tadayuki ; Sendo, Hiroyoshi ; Fujino, Yasuhiro ; Tominaga, Masahiro ; Kakeji, Yoshihiro</creator><creatorcontrib>Goto, Hironobu ; Yasuda, Takashi ; Oshikiri, Taro ; Kanaji, Shingo ; Kawasaki, Kentaro ; Imanishi, Tatsuya ; Oyama, Masato ; Kakinoki, Keitaro ; Ohara, Tadayuki ; Sendo, Hiroyoshi ; Fujino, Yasuhiro ; Tominaga, Masahiro ; Kakeji, Yoshihiro</creatorcontrib><description>Introduction
Laparoscopic distal gastrectomy (LDG) with D1+ lymph node dissection (LND) for early gastric cancer has been widely accepted. However, LDG with D2 LND for advanced gastric cancer remains in limited use. The aim of this retrospective study was to clarify the safety of LDG with D2 LND for gastric cancer.
Methods
From January 2010 to September 2014, 296 patients underwent LDG; those who received D1+ LND (n = 230) or D2 LND (n = 66) were included in this study. The clinicopathological characteristics and short‐term outcomes of both groups were investigated and compared.
Results
There were no significant differences in the incidence of postoperative complications between the two groups. However, the frequency of infectious intra‐abdominal complications was higher in the D2 LND group than in the D1+ LND group. Additionally, a lower risk of infectious intra‐abdominal complications was seen with certified than with uncertified operators.
Conclusion
The evaluation of short‐term outcomes demonstrated that LDG with D2 LND is generally feasible. However, the risk of infectious intra‐abdominal complications is higher with D2 LND than with D1+ LND. Also, D2 LND should be performed by trained operators.</description><identifier>ISSN: 1758-5902</identifier><identifier>EISSN: 1758-5910</identifier><identifier>DOI: 10.1111/ases.12269</identifier><identifier>PMID: 26804340</identifier><language>eng</language><publisher>Japan: Blackwell Publishing Ltd</publisher><subject>Abdomen ; Adult ; Aged ; Aged, 80 and over ; Biopsy ; D1+ lymph node dissection ; D2 lymph node dissection ; Female ; Gastrectomy ; Gastric cancer ; Humans ; laparoscopic distal gastrectomy ; Laparoscopy ; Lymph Node Excision ; Lymphatic system ; Male ; Middle Aged ; Retrospective Studies ; Short term ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Time Factors ; Treatment Outcome</subject><ispartof>Asian journal of endoscopic surgery, 2016-05, Vol.9 (2), p.116-121</ispartof><rights>2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd</rights><rights>2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley & Sons Australia, Ltd.</rights><rights>2016 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and John Wiley Sons Australia, Ltd</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fases.12269$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fases.12269$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26804340$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Goto, Hironobu</creatorcontrib><creatorcontrib>Yasuda, Takashi</creatorcontrib><creatorcontrib>Oshikiri, Taro</creatorcontrib><creatorcontrib>Kanaji, Shingo</creatorcontrib><creatorcontrib>Kawasaki, Kentaro</creatorcontrib><creatorcontrib>Imanishi, Tatsuya</creatorcontrib><creatorcontrib>Oyama, Masato</creatorcontrib><creatorcontrib>Kakinoki, Keitaro</creatorcontrib><creatorcontrib>Ohara, Tadayuki</creatorcontrib><creatorcontrib>Sendo, Hiroyoshi</creatorcontrib><creatorcontrib>Fujino, Yasuhiro</creatorcontrib><creatorcontrib>Tominaga, Masahiro</creatorcontrib><creatorcontrib>Kakeji, Yoshihiro</creatorcontrib><title>Comparing the short-term outcomes of laparoscopic distal gastrectomy with D1+ and D2 lymph node dissection for gastric cancer</title><title>Asian journal of endoscopic surgery</title><addtitle>Asian J Endosc Surg</addtitle><description>Introduction
Laparoscopic distal gastrectomy (LDG) with D1+ lymph node dissection (LND) for early gastric cancer has been widely accepted. However, LDG with D2 LND for advanced gastric cancer remains in limited use. The aim of this retrospective study was to clarify the safety of LDG with D2 LND for gastric cancer.
Methods
From January 2010 to September 2014, 296 patients underwent LDG; those who received D1+ LND (n = 230) or D2 LND (n = 66) were included in this study. The clinicopathological characteristics and short‐term outcomes of both groups were investigated and compared.
Results
There were no significant differences in the incidence of postoperative complications between the two groups. However, the frequency of infectious intra‐abdominal complications was higher in the D2 LND group than in the D1+ LND group. Additionally, a lower risk of infectious intra‐abdominal complications was seen with certified than with uncertified operators.
Conclusion
The evaluation of short‐term outcomes demonstrated that LDG with D2 LND is generally feasible. However, the risk of infectious intra‐abdominal complications is higher with D2 LND than with D1+ LND. Also, D2 LND should be performed by trained operators.</description><subject>Abdomen</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biopsy</subject><subject>D1+ lymph node dissection</subject><subject>D2 lymph node dissection</subject><subject>Female</subject><subject>Gastrectomy</subject><subject>Gastric cancer</subject><subject>Humans</subject><subject>laparoscopic distal gastrectomy</subject><subject>Laparoscopy</subject><subject>Lymph Node Excision</subject><subject>Lymphatic system</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Retrospective Studies</subject><subject>Short term</subject><subject>Stomach Neoplasms - pathology</subject><subject>Stomach Neoplasms - surgery</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><issn>1758-5902</issn><issn>1758-5910</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkU1v1DAQhi0EoqVw4QcgS1yQqrQeO_HHsdp2C1LVHgqqxMXyOk7XJYmD7ajdA_8db7fsgbnMSPO8o5l5EfoI5ARKnJrk0glQytUrdAiikVWjgLze14QeoHcpPRDCBdTsLTqgXJKa1eQQ_VmEYTLRj_c4rx1O6xBzlV0ccJizDYNLOHS4N4UJyYbJW9z6lE2P703K0dkchg1-9HmNz-EYm7HF5xT3m2Fa4zG0bkunQvkw4i7EnaoMsWa0Lr5HbzrTJ_fhJR-hH8uL74uv1dXN5bfF2VXlWc1UJTiBjqoVlXVjOWmltZwSwRtQjCjecUEpqzu5qhVlhEMnJchVoywXwpUz2RH6sps7xfB7dinrwSfr-t6MLsxJg5ANBQZCFfTzf-hDmONYtttSNaPAeVOoTy_UvBpcq6foBxM3-t9jCwA74NH3brPvA9Fby_TWMv1smT67vbh9roqm2mnKg93TXmPiL80FE42-u77UP9lS3S2viV6wv_Lmlps</recordid><startdate>201605</startdate><enddate>201605</enddate><creator>Goto, Hironobu</creator><creator>Yasuda, Takashi</creator><creator>Oshikiri, Taro</creator><creator>Kanaji, Shingo</creator><creator>Kawasaki, Kentaro</creator><creator>Imanishi, Tatsuya</creator><creator>Oyama, Masato</creator><creator>Kakinoki, Keitaro</creator><creator>Ohara, Tadayuki</creator><creator>Sendo, Hiroyoshi</creator><creator>Fujino, Yasuhiro</creator><creator>Tominaga, Masahiro</creator><creator>Kakeji, Yoshihiro</creator><general>Blackwell Publishing Ltd</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201605</creationdate><title>Comparing the short-term outcomes of laparoscopic distal gastrectomy with D1+ and D2 lymph node dissection for gastric cancer</title><author>Goto, Hironobu ; Yasuda, Takashi ; Oshikiri, Taro ; Kanaji, Shingo ; Kawasaki, Kentaro ; Imanishi, Tatsuya ; Oyama, Masato ; Kakinoki, Keitaro ; Ohara, Tadayuki ; Sendo, Hiroyoshi ; Fujino, Yasuhiro ; Tominaga, Masahiro ; Kakeji, Yoshihiro</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-i3439-7601f29b2845c60d8cc620765193096f672234f8b4923061f8818b59c677e3403</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Abdomen</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biopsy</topic><topic>D1+ lymph node dissection</topic><topic>D2 lymph node dissection</topic><topic>Female</topic><topic>Gastrectomy</topic><topic>Gastric cancer</topic><topic>Humans</topic><topic>laparoscopic distal gastrectomy</topic><topic>Laparoscopy</topic><topic>Lymph Node Excision</topic><topic>Lymphatic system</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Retrospective Studies</topic><topic>Short term</topic><topic>Stomach Neoplasms - pathology</topic><topic>Stomach Neoplasms - surgery</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Goto, Hironobu</creatorcontrib><creatorcontrib>Yasuda, Takashi</creatorcontrib><creatorcontrib>Oshikiri, Taro</creatorcontrib><creatorcontrib>Kanaji, Shingo</creatorcontrib><creatorcontrib>Kawasaki, Kentaro</creatorcontrib><creatorcontrib>Imanishi, Tatsuya</creatorcontrib><creatorcontrib>Oyama, Masato</creatorcontrib><creatorcontrib>Kakinoki, Keitaro</creatorcontrib><creatorcontrib>Ohara, Tadayuki</creatorcontrib><creatorcontrib>Sendo, Hiroyoshi</creatorcontrib><creatorcontrib>Fujino, Yasuhiro</creatorcontrib><creatorcontrib>Tominaga, Masahiro</creatorcontrib><creatorcontrib>Kakeji, Yoshihiro</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Asian journal of endoscopic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Goto, Hironobu</au><au>Yasuda, Takashi</au><au>Oshikiri, Taro</au><au>Kanaji, Shingo</au><au>Kawasaki, Kentaro</au><au>Imanishi, Tatsuya</au><au>Oyama, Masato</au><au>Kakinoki, Keitaro</au><au>Ohara, Tadayuki</au><au>Sendo, Hiroyoshi</au><au>Fujino, Yasuhiro</au><au>Tominaga, Masahiro</au><au>Kakeji, Yoshihiro</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparing the short-term outcomes of laparoscopic distal gastrectomy with D1+ and D2 lymph node dissection for gastric cancer</atitle><jtitle>Asian journal of endoscopic surgery</jtitle><addtitle>Asian J Endosc Surg</addtitle><date>2016-05</date><risdate>2016</risdate><volume>9</volume><issue>2</issue><spage>116</spage><epage>121</epage><pages>116-121</pages><issn>1758-5902</issn><eissn>1758-5910</eissn><abstract>Introduction
Laparoscopic distal gastrectomy (LDG) with D1+ lymph node dissection (LND) for early gastric cancer has been widely accepted. However, LDG with D2 LND for advanced gastric cancer remains in limited use. The aim of this retrospective study was to clarify the safety of LDG with D2 LND for gastric cancer.
Methods
From January 2010 to September 2014, 296 patients underwent LDG; those who received D1+ LND (n = 230) or D2 LND (n = 66) were included in this study. The clinicopathological characteristics and short‐term outcomes of both groups were investigated and compared.
Results
There were no significant differences in the incidence of postoperative complications between the two groups. However, the frequency of infectious intra‐abdominal complications was higher in the D2 LND group than in the D1+ LND group. Additionally, a lower risk of infectious intra‐abdominal complications was seen with certified than with uncertified operators.
Conclusion
The evaluation of short‐term outcomes demonstrated that LDG with D2 LND is generally feasible. However, the risk of infectious intra‐abdominal complications is higher with D2 LND than with D1+ LND. Also, D2 LND should be performed by trained operators.</abstract><cop>Japan</cop><pub>Blackwell Publishing Ltd</pub><pmid>26804340</pmid><doi>10.1111/ases.12269</doi><tpages>6</tpages></addata></record> |
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| identifier | ISSN: 1758-5902 |
| ispartof | Asian journal of endoscopic surgery, 2016-05, Vol.9 (2), p.116-121 |
| issn | 1758-5902 1758-5910 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Abdomen Adult Aged Aged, 80 and over Biopsy D1+ lymph node dissection D2 lymph node dissection Female Gastrectomy Gastric cancer Humans laparoscopic distal gastrectomy Laparoscopy Lymph Node Excision Lymphatic system Male Middle Aged Retrospective Studies Short term Stomach Neoplasms - pathology Stomach Neoplasms - surgery Time Factors Treatment Outcome |
| title | Comparing the short-term outcomes of laparoscopic distal gastrectomy with D1+ and D2 lymph node dissection for gastric cancer |
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