Safety of Laparoscopic Sentinel Basin Dissection in Patients with Gastric Cancer: an Analysis from the SENORITA Prospective Multicenter Quality Control Trial.
- Author:
Ji Yeong AN
1
;
Jae Seok MIN
;
Young Joon LEE
;
Sang Ho JEONG
;
Hoon HUR
;
Sang Uk HAN
;
Woo Jin HYUNG
;
Gyu Seok CHO
;
Gui Ae JEONG
;
Oh JEONG
;
Young Kyu PARK
;
Mi Ran JUNG
;
Ji Yeon PARK
;
Young Woo KIM
;
Hong Man YOON
;
Bang Wool EOM
;
Keun Won RYU
Author Information
- Publication Type:Multicenter Study ; Original Article
- Keywords: Stomach neoplasms; Sentinel lymph node biopsy; Postoperative complication
- MeSH: Classification; Drainage; Humans; Lymph Nodes; Mortality; Postoperative Complications; Postoperative Period; Prospective Studies*; Quality Control*; Sentinel Lymph Node Biopsy; Stomach Neoplasms*
- From:Journal of Gastric Cancer 2018;18(1):30-36
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: We investigated complications after laparoscopic sentinel basin dissection (SBD) for patients with gastric cancer who were enrolled in a quality control study, prior to the phase III trial of sentinel lymph node navigation surgery (SNNS). MATERIALS AND METHODS: We analyzed prospective data from a Korean multicenter prerequisite quality control trial of laparoscopic SBD for gastric cancer and assessed procedure-related and surgical complications. All complications were classified according to the Clavien-Dindo Classification (CDC) system and were compared with the results of the previously published SNNS trial. RESULTS: Among the 108 eligible patients who were enrolled in the quality control trial, 8 (7.4%) experienced complications during the early postoperative period. One patient with gastric resection-related duodenal stump leakage recovered after percutaneous drainage (grade IIIa in CDC). The other postoperative complications were mild and patients recovered with supportive care. No complications were directly related to the laparoscopic SBD procedure or tracer usage, and there were no mortalities. The laparoscopic SBD complication rates and patterns that were observed in this study were comparable to those of a previously reported trial. CONCLUSIONS: The results of our prospective, multicenter quality control trial demonstrate that laparoscopic SBD is a safe procedure during SNNS for gastric cancer.