|Table of Contents|

The value of medial approach for the lymphadenectomy of superior pancreatic lymph nodes in laparoscopic radical gastrectomy for gastric cancer

Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:
2020 01
Page:
79-82
Research Field:
Publishing date:

Info

Title:
The value of medial approach for the lymphadenectomy of superior pancreatic lymph nodes in laparoscopic radical gastrectomy for gastric cancer
Author(s):
Kang Haili1; Ning Liyun2; Wang Zhifeng1; Shen Jingxia2; Wei Bin1; Wu Xuedui2; Wang Huisheng1
1.General Surgery Department；2.Oncology Department，Qian'an People's Hospital，Hebei Tangshan 064400，China.
Keywords:
gastric cancer; laparoscopy; radical correction; lymph node dissection
PACS:
R735.2
DOI:
10.3969/j.issn.1672-4992.2020.01.020
Abstract:
Objective：To explore the value of medial approach for the lymphadenectomy of superior pancreatic lymph nodes in laparoscopic radical gastrectomy for gastric cancer.Methods：A total of 104 patients with distal gastric cancer who underwent laparoscopic surgery in our hospital from January 2016 to June 2018 were enrolled.The patients were divided into control group and observation group by 52 cases by random number table method.The control group was treated with conventional approach to clean the superior pancreatic lymph nodes，and the observation group used the medial approach to clean the superior pancreatic lymph nodes.The operation time，intraoperative blood loss，postoperative complications(including anastomotic stenosis，pancreatic fistula，abdominal abscess，hospital mortality)and postoperative hospital stay were observed in 2 groups.Results：There was no significant difference in the operation time，blood transfusion rate and transfer rate between the 2 groups(P>0.05)，and there were differences in blood loss，type of anastomosis，rate of anastomosis in the body，and number of lymph nodes in the pancreas during the two groups(P<0.05).The incidence of complications in the observation group was lower than that in the control group，but the difference was not statistically significant(P>0.05).There was no significant difference between the two groups in Out-of-bed activity time and hospital mortality(P>0.05).The time of oral feeding and hospitalization in the observation group were lower than those in the control group，and the difference was statistically significant (P<0.05).Conclusion：In the laparoscopic radical gastrectomy，the use of the medial approach to clean the superior pancreatic lymph nodes can improve the number of lymph node dissection and promote postoperative recovery.It is worthy of further study.

References:

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Memo

Memo:
河北省2018年度医学科学研究重点课题（编号：20181407）
Last Update: 1900-01-01