Clinical evaluation of the dissection of bursectomy in D2 gastrectomy of T2 gastric cancer
10.3760/cma.j.jssn.1673-4904.2016.12.001
- VernacularTitle:T2期胃癌患者D2根治术中网膜囊剥离的临床价值评估
- Author:
Yongjiang YANG
;
Zhuobin SU
;
Di HUANG
;
Xueliang WU
;
Yifeng ZHAO
;
Shuguang LI
- Keywords:
Stomach neoplasms;
Anterior layer of transverse mesocolon;
Pancreatic capsule
- From:
Chinese Journal of Postgraduates of Medicine
2016;39(12):1057-1060
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the risk and value of the dissection of bursectomy in T2 gastric cancer. Methods A total of 86 T2 gastric cancer patients were divided into dissection of bursectomy group (46 cases) and non-dissection of bursectomy group (40 cases) according to the random number table method. The age, Borrman type, tumor location, degree of differentiation, vascular tumor thrombus, operation type, lymph nodes metastasis, number of dissected lymph nodes, tumor size, blood loss during operation, operation time and postoperative complications were observed. The patients were followed up for 1 year, and the local recurrence, metastasis and survive were compared between 2 groups. Results There were no statistical differences in age, Borrman type, tumor location, degree of differentiation, vascular tumor thrombus, operation type, lymph nodes metastasis, number of dissected lymph nodes, tumor size, blood loss during operation and postoperative complications (P>0.05). No metastasis was found in anterior layer of transverse colon and pancreatic capsule in 2 groups. The operation time in dissection of bursectomy group was significantly longer than that in non- dissection of bursectomy group: (169.13 ± 37.94) min vs. (147.45 ± 30.27) min, and there was statistical difference (P<0.05). The patients were followed up for 1 year, and there was no local recurrence in 2 groups. There was 1 case with liver metastasis in dissection of bursectomy group, and 1 case with bony metastasis in non- dissection of bursectomy group. There was no death in 2 groups. Conclusions The dissection of bursectomy in T2 gastric cancer could be abandoned, in order to reduce the operation time, blood loss during operation, and postoperative complications.
