Prevention of surgery-related complications of D2+ lymphadenectomy for gastric cancer.
- Author:
Han LIANG
1
Author Information
1. Department of Gastric Cancer Surgical, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Tianjin 300060, China. tjlianghan@126.com.
- Publication Type:Journal Article
- MeSH:
High-Intensity Focused Ultrasound Ablation;
instrumentation;
Humans;
Inflammation;
prevention & control;
Long Term Adverse Effects;
prevention & control;
Lymph Node Excision;
adverse effects;
instrumentation;
methods;
mortality;
Lymph Nodes;
Postoperative Complications;
prevention & control;
Stomach Neoplasms;
mortality;
surgery;
Surgical Instruments
- From:
Chinese Journal of Gastrointestinal Surgery
2017;20(2):140-143
- CountryChina
- Language:Chinese
-
Abstract:
D2 lymphadenectomy is currently the worldwide standard operation for locally advanced gastric cancer and D2+ is an option for some selected patients. The D2 plus lymphadenectomy includes No.8p, No.10, No.11d, No.12b, No.12p, No.13, No.14v, No.16a2 and No.16b1. Dissection of these groups of lymph nodes may cause related complications. Postoperative complications that can cause prolonged inflammation have significant impact not only on mortality but also on overall survival of patients with gastric cancer even if the tumor is resected curatively. D2 plus lymphadenectomy is recommended only in high volume medical center by experienced surgeon. The adequate exposure of the operative field, right anatomical space, use of ultrasound scalpel and operator with enough patience are proved to be pivotal to prevent the complications.
