Curative effect analysis of D2 lymphadenectomy for distal gastric cancer with pancreas as the central landmark

VernacularTitle:以胰腺为中心的远端胃癌D2淋巴结清扫术疗效分析
Author: Yongcheng WEI ; Tianwei LIANG ; Yi SUN
Publication Type:Journal Article
Keywords: gastric cancer; lymphadenectomy; pancreas
From: Journal of Regional Anatomy and Operative Surgery 2013;(6):650-651
CountryChina
Language:Chinese
Abstract: Objective To investigate the feasibility and clinical significance of D2 lymphadenectomy for distal gastric cancer in which the pancreas were regarded as the central landmark. Methods 26 patients of advanced distal gastric cancer were performed D2 lymphade-nectomy centered on the pancreas from March 2012 to February 2013. The operation time, amount of bleeding,number of lymph nodes,and postoperative complications were recorded. Results All the 26 patients underwent the operation successfully. The amount of bleeding was 50~200 mL(averagely 110 mL),and the number of lymph nodes which were cleaned was 16~35 (averagely 26). One patient had intra-ab-dominal hemorrhage and one patient had lymphorrhagia after the operation,and they were cured finally. There was no local recurrence,no dis-tant metastasis,and no death case occurred during the follow-up. Conclusion D2 lymphadenectomy for distal gastric cancer with pancreas as the central landmark is safe and feasible, and it is of lower incidence of complications .