In:
Asian Journal of Endoscopic Surgery, Wiley, Vol. 9, No. 1 ( 2016-02), p. 5-13
Abstract:
Splenic hilar lymph node dissection via a splenectomy for advanced proximal gastric cancer remains controversial. Recently, a laparoscopic spleen‐preserving hilar lymph node dissection procedure was described in several publications. To assess the feasibility and safety of spleen‐preserving laparoscopic total gastrectomy with D 2 lymphadenectomy ( LTG ‐ D 2), the present retrospective study compared the short‐term surgical outcomes between spleen preservation and splenectomy during laparoscopic D 2 total gastrectomy ( LTG ‐ D2S ). Method This study included 59 patients who underwent LTG ‐ D 2 and 19 patients who underwent LTG ‐ D2S . Results The mean operation time did not significantly differ between the LTG‐ D 2 and LTG ‐ D2S groups (339.4 ± 56.8 vs 356.8 ± 46.0 min). The mean blood loss tended to be smaller in the LTG ‐ D 2 group than in the LTG ‐ D2S group (105.9 ± 89.7 vs 210.0 ± 149.5 mL). The mean number of retrieved lymph nodes did not significantly differ between the LTG ‐ D 2 and LTG ‐ D2S groups (39.9 ± 17.0 vs 40.6 ± 14.9), and the mean number of retrieved lymph nodes at the splenic hilum also did not significantly differ between the LTG ‐ D 2 and LTG ‐ D2S groups (1.3 ± 1.7 vs 2.4 ± 2.6). Mild pancreatic fistula occurred in three cases (5%) in the LTG ‐ D 2 group and in three cases (15.8%) in the LTG ‐ D2S group. Conclusion A LTG ‐ D 2 is feasible in terms of the short‐term outcomes. However, the indications for this complicated procedure should be considered carefully.
Type of Medium:
Online Resource
ISSN:
1758-5902
,
1758-5910
DOI:
10.1111/ases.2016.9.issue-1
Language:
English
Publisher:
Wiley
Publication Date:
2016
detail.hit.zdb_id:
2492135-X
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