TY  - JOUR
TI  - D2 vs D2 plus para-aortic lymph node dissection for advanced gastric cancer
AB  - Objective: Gastric cancer is a common malignancy worldwide. Effective treatment by interdisciplinary cooperation is important, and surgery still plays an important role. Material and Methods: In a ten-year period, 355 patients were diagnosed to have gastric cancer. One hundred and sixty-two patients with a median (range) age of 58 (23-83) years were eligible for the study. There were 107 patients in D2 and 55 patients in D2 lymphadenectomy plus para-aortic lymph node (PALN) dissection group. The two groups were compared in terms of complications, morbidity, mortality and long-term survival. Results: Length of stay was 12 (8-34) days for D2 and 14 (8-42) days for D2 plus PALND. Total number of operative mortality was 8/162 (5%), and it was not different between the groups. Twenty patients (18%) had complications in D2 group and 9 (17%) patients in D2 plus PALND group. Overall survival was also similar between the groups, but patients with T3-T4 tumors, patients with stage IIIA and IIIB disease had better survival with D2 plus PALN dissection. We found that the depth of invasion, PLN, ratio (PLN/TLN), stage and LND were all prognostic variables. Conclusion: This study showed that D2 plus PALN dissection for advanced gastric cancer can be performed as safely as a standard D2 dissection by experienced surgeons without increasing postoperative morbidity and mortality. D2 plus PALN dissection should be preferred in the advanced stage of the disease (IIIA-IIIB) as it increases the rate of survival.
AU  - ozmen, mehmet mahir
AU  - Zulfikaroglu, Baris
AU  - Seçkin, Selda
AU  - Özalp, nejdet
AU  - Moran, Münevver
AU  - ozmen, fusun
DO  - 10.47717/turkjsurg.2020.4931
PY  - 2021
JO  - Turkish Journal of Surgery
VL  - 1
IS  - 37
SN  - 2564-6850
SP  - 49
EP  - 58
DB  - TRDizin
UR  - http://search/yayin/detay/503804
ER  -