Life prognosis of sentinel node navigation surgery for early-stage gastric cancer: Outcome of lymphatic basin dissection
Lymphatic basin dissection is a sentinel node biopsy method that is specific for gastric cancer. In this method, the dyed lymphatic system is dissected , and sentinel nodes are identified at the back table ( ). Even with lymphatic basin dissection, blood flow to the residual stomach can be preserved...
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| Veröffentlicht in: | World journal of gastroenterology : WJG 2021-12, Vol.27 (46), p.8010-8030 |
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| creator | Kinami, Shinichi Nakamura, Naohiko Miyashita, Tomoharu Kitakata, Hidekazu Fushida, Sachio Fujimura, Takashi Iida, Yasuo Inaki, Noriyuki Ito, Toru Takamura, Hiroyuki |
| description | Lymphatic basin dissection is a sentinel node biopsy method that is specific for gastric cancer. In this method, the dyed lymphatic system is dissected
, and sentinel nodes are identified at the back table (
). Even with lymphatic basin dissection, blood flow to the residual stomach can be preserved, and function-preserving curative gastrectomy can be performed. The oncological safety of function-preserving curative gastrectomy combined with lymphatic basin dissection has not yet been fully investigated. We hypothesized that the oncological safety of sentinel node navigation surgery (SNNS) is not inferior to that of the guidelines.
To investigate the life prognosis of SNNS for gastric cancer in comparison with guidelines surgery.
This was a retrospective cohort study. Patients were selected from gastric cancer patients who underwent sentinel node biopsy from April 1999 to March 2016. Patients from April 1999 to August 2008 were from the Department of Surgery II, Kanazawa University Hospital, and patients from August 2009 to March 2016 were from the Department of Surgical Oncology, Kanazawa Medical University Hospital. Patients who were diagnosed with gastric cancer, which was preoperatively diagnosed as superficial type (type 0), 5 cm or less in length, clinical T1-2 and node negative, and underwent various gastrectomies guided by sentinel node navigation were retrospectively collected. The overall survival (OS) and relapse-free survival (RFS) of these patients (SNNS group) were investigated. Patients with gastric cancer of the same stage and who underwent guidelines gastrectomy with standard nodal dissection were also selected as the control group.
A total of 239 patients in the SNNS group and 423 patients in the control group were included. Pathological nodal metastasis was observed in 10.5% and 10.4% of the SNNS and control groups, respectively. The diagnostic abilities of sentinel node biopsy were 84% and 98.6% for sensitivity and accuracy, respectively. In the SNNS group, 81.6% of patients underwent modified gastrectomy or function-preserving curative gastrectomy with lymphatic basin dissection, in which the extent of nodal dissection was further reduced compared to the guidelines. The OS rate in the SNNS group was 96.8% at 5 years and was significantly better than 91.3% in the control group (
= 0.0014). The RFS rates were equal in both groups. After propensity score matching, there were 231 patients in both groups, and the cumulative recurrence rate |
| doi_str_mv | 10.3748/wjg.v27.i46.8010 |
| format | Article |
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, and sentinel nodes are identified at the back table (
). Even with lymphatic basin dissection, blood flow to the residual stomach can be preserved, and function-preserving curative gastrectomy can be performed. The oncological safety of function-preserving curative gastrectomy combined with lymphatic basin dissection has not yet been fully investigated. We hypothesized that the oncological safety of sentinel node navigation surgery (SNNS) is not inferior to that of the guidelines.
To investigate the life prognosis of SNNS for gastric cancer in comparison with guidelines surgery.
This was a retrospective cohort study. Patients were selected from gastric cancer patients who underwent sentinel node biopsy from April 1999 to March 2016. Patients from April 1999 to August 2008 were from the Department of Surgery II, Kanazawa University Hospital, and patients from August 2009 to March 2016 were from the Department of Surgical Oncology, Kanazawa Medical University Hospital. Patients who were diagnosed with gastric cancer, which was preoperatively diagnosed as superficial type (type 0), 5 cm or less in length, clinical T1-2 and node negative, and underwent various gastrectomies guided by sentinel node navigation were retrospectively collected. The overall survival (OS) and relapse-free survival (RFS) of these patients (SNNS group) were investigated. Patients with gastric cancer of the same stage and who underwent guidelines gastrectomy with standard nodal dissection were also selected as the control group.
A total of 239 patients in the SNNS group and 423 patients in the control group were included. Pathological nodal metastasis was observed in 10.5% and 10.4% of the SNNS and control groups, respectively. The diagnostic abilities of sentinel node biopsy were 84% and 98.6% for sensitivity and accuracy, respectively. In the SNNS group, 81.6% of patients underwent modified gastrectomy or function-preserving curative gastrectomy with lymphatic basin dissection, in which the extent of nodal dissection was further reduced compared to the guidelines. The OS rate in the SNNS group was 96.8% at 5 years and was significantly better than 91.3% in the control group (
= 0.0014). The RFS rates were equal in both groups. After propensity score matching, there were 231 patients in both groups, and the cumulative recurrence rate was 0.43% at 5 years in the SNNS group and 1.30% in the control group, which was not statistically different.
The oncological safety of patients who undergo gastrectomy guided by sentinel node navigation is not inferior to that of the guidelines surgery.</description><identifier>ISSN: 1007-9327</identifier><identifier>EISSN: 2219-2840</identifier><identifier>DOI: 10.3748/wjg.v27.i46.8010</identifier><identifier>PMID: 35046627</identifier><language>eng</language><publisher>United States: Baishideng Publishing Group Inc</publisher><subject>Dissection ; Gastrectomy - adverse effects ; Humans ; Lymph Node Excision ; Neoplasm Recurrence, Local ; Prognosis ; Retrospective Cohort Study ; Retrospective Studies ; Sentinel Lymph Node Biopsy ; Stomach Neoplasms - diagnostic imaging ; Stomach Neoplasms - surgery</subject><ispartof>World journal of gastroenterology : WJG, 2021-12, Vol.27 (46), p.8010-8030</ispartof><rights>The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.</rights><rights>The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved. 2021</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c396t-d5180a1a92bc2160b838d9a9719ae74cf6335cc4b9256851b043c7a4fcf353713</citedby><cites>FETCH-LOGICAL-c396t-d5180a1a92bc2160b838d9a9719ae74cf6335cc4b9256851b043c7a4fcf353713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678813/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8678813/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35046627$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kinami, Shinichi</creatorcontrib><creatorcontrib>Nakamura, Naohiko</creatorcontrib><creatorcontrib>Miyashita, Tomoharu</creatorcontrib><creatorcontrib>Kitakata, Hidekazu</creatorcontrib><creatorcontrib>Fushida, Sachio</creatorcontrib><creatorcontrib>Fujimura, Takashi</creatorcontrib><creatorcontrib>Iida, Yasuo</creatorcontrib><creatorcontrib>Inaki, Noriyuki</creatorcontrib><creatorcontrib>Ito, Toru</creatorcontrib><creatorcontrib>Takamura, Hiroyuki</creatorcontrib><title>Life prognosis of sentinel node navigation surgery for early-stage gastric cancer: Outcome of lymphatic basin dissection</title><title>World journal of gastroenterology : WJG</title><addtitle>World J Gastroenterol</addtitle><description>Lymphatic basin dissection is a sentinel node biopsy method that is specific for gastric cancer. In this method, the dyed lymphatic system is dissected
, and sentinel nodes are identified at the back table (
). Even with lymphatic basin dissection, blood flow to the residual stomach can be preserved, and function-preserving curative gastrectomy can be performed. The oncological safety of function-preserving curative gastrectomy combined with lymphatic basin dissection has not yet been fully investigated. We hypothesized that the oncological safety of sentinel node navigation surgery (SNNS) is not inferior to that of the guidelines.
To investigate the life prognosis of SNNS for gastric cancer in comparison with guidelines surgery.
This was a retrospective cohort study. Patients were selected from gastric cancer patients who underwent sentinel node biopsy from April 1999 to March 2016. Patients from April 1999 to August 2008 were from the Department of Surgery II, Kanazawa University Hospital, and patients from August 2009 to March 2016 were from the Department of Surgical Oncology, Kanazawa Medical University Hospital. Patients who were diagnosed with gastric cancer, which was preoperatively diagnosed as superficial type (type 0), 5 cm or less in length, clinical T1-2 and node negative, and underwent various gastrectomies guided by sentinel node navigation were retrospectively collected. The overall survival (OS) and relapse-free survival (RFS) of these patients (SNNS group) were investigated. Patients with gastric cancer of the same stage and who underwent guidelines gastrectomy with standard nodal dissection were also selected as the control group.
A total of 239 patients in the SNNS group and 423 patients in the control group were included. Pathological nodal metastasis was observed in 10.5% and 10.4% of the SNNS and control groups, respectively. The diagnostic abilities of sentinel node biopsy were 84% and 98.6% for sensitivity and accuracy, respectively. In the SNNS group, 81.6% of patients underwent modified gastrectomy or function-preserving curative gastrectomy with lymphatic basin dissection, in which the extent of nodal dissection was further reduced compared to the guidelines. The OS rate in the SNNS group was 96.8% at 5 years and was significantly better than 91.3% in the control group (
= 0.0014). The RFS rates were equal in both groups. After propensity score matching, there were 231 patients in both groups, and the cumulative recurrence rate was 0.43% at 5 years in the SNNS group and 1.30% in the control group, which was not statistically different.
The oncological safety of patients who undergo gastrectomy guided by sentinel node navigation is not inferior to that of the guidelines surgery.</description><subject>Dissection</subject><subject>Gastrectomy - adverse effects</subject><subject>Humans</subject><subject>Lymph Node Excision</subject><subject>Neoplasm Recurrence, Local</subject><subject>Prognosis</subject><subject>Retrospective Cohort Study</subject><subject>Retrospective Studies</subject><subject>Sentinel Lymph Node Biopsy</subject><subject>Stomach Neoplasms - diagnostic imaging</subject><subject>Stomach Neoplasms - surgery</subject><issn>1007-9327</issn><issn>2219-2840</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVkU1v1DAQhi0EotvCnRPykUsWfyS2wwEJVUCRVuoFztbEcVJXib14koX99zhqqeA0h5n3mRk9hLzhbC91bd7_uh_3J6H3oVZ7wzh7RnZC8LYSpmbPyY4zpqtWCn1BLhHvGRNSNuIluZANq5USekd-H8Lg6TGnMSYMSNNA0cclRD_RmHpPI5zCCEtIkeKaR5_PdEiZesjTucIFRk9HwCUHRx1E5_MHersuLs1-Y03n-XhX0o52gCHSPiB6t9FekRcDTOhfP9Yr8uPL5-_XN9Xh9uu360-HyslWLVXfcMOAQys6J7hinZGmb6HVvAWvazeo8pJzddeKRpmGd6yWTkM9uEE2UnN5RT4-cI9rN_velecyTPaYwwz5bBME-38nhjs7ppM1ShvDZQG8ewTk9HP1uNg5oPPTBNGnFa1Q5S4ltd5G2cOoywkx--FpDWd2E2aLMFuE2SLMbsJK5O2_5z0F_hqSfwCqJJX9</recordid><startdate>20211214</startdate><enddate>20211214</enddate><creator>Kinami, Shinichi</creator><creator>Nakamura, Naohiko</creator><creator>Miyashita, Tomoharu</creator><creator>Kitakata, Hidekazu</creator><creator>Fushida, Sachio</creator><creator>Fujimura, Takashi</creator><creator>Iida, Yasuo</creator><creator>Inaki, Noriyuki</creator><creator>Ito, Toru</creator><creator>Takamura, Hiroyuki</creator><general>Baishideng Publishing Group Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20211214</creationdate><title>Life prognosis of sentinel node navigation surgery for early-stage gastric cancer: Outcome of lymphatic basin dissection</title><author>Kinami, Shinichi ; Nakamura, Naohiko ; Miyashita, Tomoharu ; Kitakata, Hidekazu ; Fushida, Sachio ; Fujimura, Takashi ; Iida, Yasuo ; Inaki, Noriyuki ; Ito, Toru ; Takamura, Hiroyuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c396t-d5180a1a92bc2160b838d9a9719ae74cf6335cc4b9256851b043c7a4fcf353713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Dissection</topic><topic>Gastrectomy - adverse effects</topic><topic>Humans</topic><topic>Lymph Node Excision</topic><topic>Neoplasm Recurrence, Local</topic><topic>Prognosis</topic><topic>Retrospective Cohort Study</topic><topic>Retrospective Studies</topic><topic>Sentinel Lymph Node Biopsy</topic><topic>Stomach Neoplasms - diagnostic imaging</topic><topic>Stomach Neoplasms - surgery</topic><toplevel>online_resources</toplevel><creatorcontrib>Kinami, Shinichi</creatorcontrib><creatorcontrib>Nakamura, Naohiko</creatorcontrib><creatorcontrib>Miyashita, Tomoharu</creatorcontrib><creatorcontrib>Kitakata, Hidekazu</creatorcontrib><creatorcontrib>Fushida, Sachio</creatorcontrib><creatorcontrib>Fujimura, Takashi</creatorcontrib><creatorcontrib>Iida, Yasuo</creatorcontrib><creatorcontrib>Inaki, Noriyuki</creatorcontrib><creatorcontrib>Ito, Toru</creatorcontrib><creatorcontrib>Takamura, Hiroyuki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>World journal of gastroenterology : WJG</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kinami, Shinichi</au><au>Nakamura, Naohiko</au><au>Miyashita, Tomoharu</au><au>Kitakata, Hidekazu</au><au>Fushida, Sachio</au><au>Fujimura, Takashi</au><au>Iida, Yasuo</au><au>Inaki, Noriyuki</au><au>Ito, Toru</au><au>Takamura, Hiroyuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Life prognosis of sentinel node navigation surgery for early-stage gastric cancer: Outcome of lymphatic basin dissection</atitle><jtitle>World journal of gastroenterology : WJG</jtitle><addtitle>World J Gastroenterol</addtitle><date>2021-12-14</date><risdate>2021</risdate><volume>27</volume><issue>46</issue><spage>8010</spage><epage>8030</epage><pages>8010-8030</pages><issn>1007-9327</issn><eissn>2219-2840</eissn><abstract>Lymphatic basin dissection is a sentinel node biopsy method that is specific for gastric cancer. In this method, the dyed lymphatic system is dissected
, and sentinel nodes are identified at the back table (
). Even with lymphatic basin dissection, blood flow to the residual stomach can be preserved, and function-preserving curative gastrectomy can be performed. The oncological safety of function-preserving curative gastrectomy combined with lymphatic basin dissection has not yet been fully investigated. We hypothesized that the oncological safety of sentinel node navigation surgery (SNNS) is not inferior to that of the guidelines.
To investigate the life prognosis of SNNS for gastric cancer in comparison with guidelines surgery.
This was a retrospective cohort study. Patients were selected from gastric cancer patients who underwent sentinel node biopsy from April 1999 to March 2016. Patients from April 1999 to August 2008 were from the Department of Surgery II, Kanazawa University Hospital, and patients from August 2009 to March 2016 were from the Department of Surgical Oncology, Kanazawa Medical University Hospital. Patients who were diagnosed with gastric cancer, which was preoperatively diagnosed as superficial type (type 0), 5 cm or less in length, clinical T1-2 and node negative, and underwent various gastrectomies guided by sentinel node navigation were retrospectively collected. The overall survival (OS) and relapse-free survival (RFS) of these patients (SNNS group) were investigated. Patients with gastric cancer of the same stage and who underwent guidelines gastrectomy with standard nodal dissection were also selected as the control group.
A total of 239 patients in the SNNS group and 423 patients in the control group were included. Pathological nodal metastasis was observed in 10.5% and 10.4% of the SNNS and control groups, respectively. The diagnostic abilities of sentinel node biopsy were 84% and 98.6% for sensitivity and accuracy, respectively. In the SNNS group, 81.6% of patients underwent modified gastrectomy or function-preserving curative gastrectomy with lymphatic basin dissection, in which the extent of nodal dissection was further reduced compared to the guidelines. The OS rate in the SNNS group was 96.8% at 5 years and was significantly better than 91.3% in the control group (
= 0.0014). The RFS rates were equal in both groups. After propensity score matching, there were 231 patients in both groups, and the cumulative recurrence rate was 0.43% at 5 years in the SNNS group and 1.30% in the control group, which was not statistically different.
The oncological safety of patients who undergo gastrectomy guided by sentinel node navigation is not inferior to that of the guidelines surgery.</abstract><cop>United States</cop><pub>Baishideng Publishing Group Inc</pub><pmid>35046627</pmid><doi>10.3748/wjg.v27.i46.8010</doi><tpages>21</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Baishideng "World Journal of" online journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; PubMed Central; Alma/SFX Local Collection |
| subjects | Dissection Gastrectomy - adverse effects Humans Lymph Node Excision Neoplasm Recurrence, Local Prognosis Retrospective Cohort Study Retrospective Studies Sentinel Lymph Node Biopsy Stomach Neoplasms - diagnostic imaging Stomach Neoplasms - surgery |
| title | Life prognosis of sentinel node navigation surgery for early-stage gastric cancer: Outcome of lymphatic basin dissection |
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