Effect Evaluation of Laparoscopy-Assisted Surgery for Lymph Node Dissection in Patients with Carcinoma of Gastric Cardia_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

HUANG Bin , REN Mingyang , ZHANG Jun , PU Min , DENG Sihan.

Department of General Surgery, Central Hospital of Nanchong City, Nanchong 637000, Sichuan Province, ChinaCorresponding Author: REN Ming-yang, E-mail: rengmingyang@yahoo.com.cn;

Corresponding author：

Keywords：

Carcinoma of gastric cardia; Laparoscopy; Lymphadenectomy

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Objective 　To evaluate the effect of laparoscopy-assisted surgery for lymph node dissection in patients with carcinoma of gastric cardia.
Methods 　The clinical data of patients with carcinoma of gastric cardia who underwent either laparoscopy-assisted or open gastrectomy between January 2004 and September 2009 in the Department of General Surgery, the Nanchong Central Hospital were analyzed retrospectively. The number of lymph node dissection was compared.
Results 　Thirty-nine patients underwent laparoscopy-assisted gastrectomy (laparoscopy group) and 63 patients underwent open gastrectomy (open group). There was no significant difference in preoperative complications, type of pathology or pTNM stage between two groups (P gt;0.05). The number of lymph node dissection was 16.44±6.25 in the laparoscopy group， of which the number of first station lymph node was 10.56±3.78 (metastasis rate was 74.4%), the second station was 3.82±1.82 (metastasis rate was 46.2%), the third station was 2.00±1.36 (metastasis rate was 5.1%); in the open group, the numbers of corresponding lymph node were 16.38±5.83, 10.94±3.91 (metastasis rate was 71.4%), 3.71±1.55 (metastasis rate was 42.9%), and 1.75±1.06 (metastasis rate was 3.2%), respectively. There was no significant difference between two groups (P gt;0.05).
Conclusion 　The effectiveness of lymph node dissection is satisfactory by laparoscopy-assisted surgery for patients with carcinoma of gastric cardia, but prospective efficacy is still being followed up.

Citation： HUANG Bin,REN Mingyang,ZHANG Jun,PU Min,DENG Sihan.. Effect Evaluation of Laparoscopy-Assisted Surgery for Lymph Node Dissection in Patients with Carcinoma of Gastric Cardia. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2010, 17(10): 1010-1013. doi: Copy

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11.	胡祥, 田大宇, 宝全. 贲门癌手术中淋巴结廓清范围的探讨 [J]. 中华胃肠外科杂志, 2007; 10(2): 127-129.
12.	赵锡江, 黄景陶, 唐鹏, 等. 贲门癌外科切除淋巴结清扫范围及意义的探讨 [J]. 实用癌症杂志, 2007; 22（2）: 185-187.
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17.	王自强, 余佩武, 钱锋, 等. 腹腔镜下胃近端癌根治术的探讨 [J]. 腹部外科, 2007; 20(1): 17-19.
18.	范莹, 吴硕东, 于宏, 等. 胃食管交界部疾病的腹腔镜手术治疗（附59例报道） [J]. 中国普外基础与临床杂志, 2010; 17(2): 175-179.
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20.	余佩武. 腹腔镜胃癌根治术的原则与评价 [J]. 中国普外基础与临床杂志, 2009; 16(1): 1-5.
21.	Shehzad K, Mohiuddin K, Nizami S, et al. Current status of minimal access surgery for gastric cancer [J]. Surg Oncol, 2007; 16(2): 85-98.
22.	郑勇斌, 童仕伦, 谭海燕, 等. 超声刀在腹腔镜胃癌根治手术中的应用 [J]. 中国普外基础与临床杂志, 2009; 16(10): 781-784.
23.	An JY, Heo GU, Cheong JH, et al. Assessment of open versus laparoscopy-assisted gastrectomy in lymph node-positive early gastric cancer: a retrospective cohort analysis [J]. J Surg Oncol, 2010; 102(1): 77-81.
24.	吴鸿根, 黄顺荣. 腹腔镜辅助胃癌根治术: 附54例报告 [J]. 中国普通外科杂志, 2008; 17(4): 312-314.
25.	余佩武, 王自强, 钱锋, 等. 腹腔镜辅助胃癌根治术105例 [J]. 中华外科杂志, 2006; 44(19): 1303-1306.

1. 　Peng J, Wang Y. Epidemiology, pathology and clinical management of multiple gastric cancers: A mini-review [J]. Surg Oncol, online 20 June 2010.
2. 　荆晓岳，王建国，周兵，等. 近10年豫北地区胃癌临床流行病学特征 [J]. 中国普外基础与临床杂志, 2010; 17(1): 29-33.
3. 　于会生, 王九菊, 刘松玲, 等. 上海、洛阳两地胃癌发生部位分析 [J]. 河南肿瘤学杂志, 2002; 15(4): 253-255.
4. 　庞屏, 郭黎, 邓思寒. 经腹膈肌切开器械吻合治疗贲门癌 [J]. 川北医学院学报, 2005; 20(3): 288-289.
5. 　任明扬, 张军, 黄斌, 等. 贲门癌经腹淋巴结清扫的临床价值 [J]. 西部医学, 2009; 21（11）: 1954-1955.
6. 　赵锡江, 黄景陶, 刘向明, 等. 贲门癌手术径路与疗效的关系研究 [J]. 临床肿瘤学杂志, 2008; 13(9): 813-815.
7. 　郭国平. 贲门癌切除术3种手术入路的比较（附353例随访结果分析） [J]. 癌症, 2002; 21（2）: 189-191.
8. 　陈于平, 杨捷生, 杨卫平, 等. 贲门腺癌淋巴结转移的临床病理意义 [J]. 医师进修杂志（外科版）, 2004; 27（8）: 40-42.
9. 　刘巍, 郝希山, 陈勇, 等. 1 526例胸段食管癌及贲门癌淋巴结转移状况分析(附1996～2004年河北医科大学第四医院随机抽样报告) [J]. 中国肿瘤临床, 2008; 35(11): 601-605.
10. 　朱江, 李强, 何金涛. 贲门癌淋巴结转移规律探讨 [J]. 现代肿瘤医学, 2006; 14(6): 700-701.
11. 　胡祥, 田大宇, 宝全. 贲门癌手术中淋巴结廓清范围的探讨 [J]. 中华胃肠外科杂志, 2007; 10(2): 127-129.
12. 　赵锡江, 黄景陶, 唐鹏, 等. 贲门癌外科切除淋巴结清扫范围及意义的探讨 [J]. 实用癌症杂志, 2007; 22（2）: 185-187.
13. 　Pugliese R, Maggioni D, Sansonna F, et al. Total and subtotal laparoscopic gastrectomy for adenocarcinoma [J]. Surg Endosc, 2007; 21(1): 21-27.
14. 　王自强, 余佩武, 蔡志民, 等. 腹腔镜与开腹远端胃癌根治术同期临床对比研究 [J]. 中国实用外科杂志, 2006; 26(5): 359-363.
15. 　Francescutti V, Choy I, Biertho L, et al. Gastrectomy and esophagogastrectomy for proximal and distal gastric lesions: a comparison of open and laparoscopic procedures [J]. Surg Innov, 2009; 16(2): 134-139.
16. 　杜晓辉, 李荣, 陈凛, 等. 腹腔镜辅助胃底贲门癌根治术: 附22例报告 [J]. 中国普通外科杂志, 2007; 16(12): 1137-1139.
17. 　王自强, 余佩武, 钱锋, 等. 腹腔镜下胃近端癌根治术的探讨 [J]. 腹部外科, 2007; 20(1): 17-19.
18. 　范莹, 吴硕东, 于宏, 等. 胃食管交界部疾病的腹腔镜手术治疗（附59例报道） [J]. 中国普外基础与临床杂志, 2010; 17(2): 175-179.
19. 　Palanivelu C, Prakash A, Parthasarathi R, et al. Laparoscopic esophagogastrectomy without thoracic or cervical access for adenocarcinoma of the gastroesophageal junction: an Indian experience from a tertiary center [J]. Surg Endosc, 2007; 21(1): 16-20.
20. 　余佩武. 腹腔镜胃癌根治术的原则与评价 [J]. 中国普外基础与临床杂志, 2009; 16(1): 1-5.
21. 　Shehzad K, Mohiuddin K, Nizami S, et al. Current status of minimal access surgery for gastric cancer [J]. Surg Oncol, 2007; 16(2): 85-98.
22. 　郑勇斌, 童仕伦, 谭海燕, 等. 超声刀在腹腔镜胃癌根治手术中的应用 [J]. 中国普外基础与临床杂志, 2009; 16(10): 781-784.
23. 　An JY, Heo GU, Cheong JH, et al. Assessment of open versus laparoscopy-assisted gastrectomy in lymph node-positive early gastric cancer: a retrospective cohort analysis [J]. J Surg Oncol, 2010; 102(1): 77-81.
24. 　吴鸿根, 黄顺荣. 腹腔镜辅助胃癌根治术: 附54例报告 [J]. 中国普通外科杂志, 2008; 17(4): 312-314.
25. 　余佩武, 王自强, 钱锋, 等. 腹腔镜辅助胃癌根治术105例 [J]. 中华外科杂志, 2006; 44(19): 1303-1306.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Effect Evaluation of Laparoscopy-Assisted Surgery for Lymph Node Dissection in Patients with Carcinoma of Gastric Cardia

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