Comparative study of complications after D1 and D2 gastrectomy for gastric cancer
10.3760/cma.j.issn.1006-9801.2009.02.007
- VernacularTitle:D1和D2式胃癌切除术后并发症对比研究
- Author:
Buqiang WU
;
Guangbin CHEN
;
Jun QIN
- Publication Type:Journal Article
- Keywords:
Stomach neoplasms;
Gastrectomy;
Lymph node excision;
Postoperative complications;
Mortality
- From:
Cancer Research and Clinic
2009;21(2):95-97
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the early mortality and morbidity of early postoperative complications of gastric cancer patients submitted to D1 or D2 gastrectomy for improving the surgical effect.Methods All consecutive patients who underwent D1 or D2 radical gastric resection between January 2006 and December 2007 were evaluated.Clinicopathologic features of the tumor,the extent of lymphadenectomy,the postoperative mortality and the early morbidity of complication were analysed.Results There were 130 patients admitted for the treatment of gastric cancer.34 underwent D1 dissection and 96 underwent D2 dissection.The early morbidity of D2 dissection was higher than that of D1 dissection (20.6% vs.39.6%,P<0.05).When complications were analyzed individually,there was no significant difference.Although the postoperative mortality was higher in the D2 group,no significant difference was observed(4.2% vs.0,P>0.05).4 patients underwent D2 dissection died.Considering the causes of the 4 died patients,respiratory complication related to anaatomotic and pancreatic leakage was the most important.Conclusion This study indicates that D2 dissection is a safe and effective procedure and the extent of lymphadenectomy may be related with high postoperative complication morbidity and mortality.Improving the surgical dissection skill and standardizing the gastric lymphadenectomy are the key ways to decrease the morbidity and mortality.
