Resectable Upper Third Gastric Carcinoma With D2 Lymph Node Dissection

Morita, Mari; Ogoshi, Kyoji; Okamoto, Yasuhiro; Nabeshima, Kazuhito; Nakamura, Kenji; Iwata, Kunihiro; Kondoh, Yasumasa; Makuuchi, Hiroyasu

doi:10.4993/acrt1992.10.63

ACRT

2002

DOI: 10.4993/acrt1992.10.63

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Resectable Upper Third Gastric Carcinoma With D2 Lymph Node Dissection

Mari Morita

Kyoji Ogoshi

Yasuhiro Okamoto

et al.

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2005

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Cited by 1 publication

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Focus on the Conditions of Resection and Reconstruction in Gastric Cancer

Ogoshi¹,

Okamoto²,

Nabeshima³

et al. 2005

Digestion

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To assess the roles of the extent of gastric resection and duodenal food passage reconstruction in gastric cancer, we examined a consecutive series of 1,061 patients who underwent total or partial (proximal and distal) gastrectomies with or without duodenal food passage reconstruction between August of 1974 and January of 2002, and received gastrectomies with D2–3 lymph node dissection. Patients who underwent distal or proximal gastrectomy were found to have significantly better survival rates than those who underwent total gastrectomy in stages 1A (10-year survival: 86.6 and 78.9 vs. 61.6%), 2 (56.5 and 65.6 vs. 34.4%), 3A (45.9 and 33.3 vs. 15.2%), and 4 (5-year survival rates: 23.7 and 50.0 vs. 7.1%). Additionally, patients with duodenal food passage reconstruction or double tract reconstruction also showed significantly better survival rates than those without duodenal food reconstruction in stages 1A (10-year survival: 86.4 and 82.5 vs. 61.7%), 1B (69.9 and 90.6 vs. 54.1%), 2 (60.5 and 63.3 vs. 16.5%), and 3A (39.9 and 47.4 vs. 23.1%). In multivariate analysis, the independent prognostic factors were age at operation, depth of tumor, duodenal food passage reconstruction, and lymph node metastasis. Our results indicate that both the extent of gastric resection and duodenal food passage reconstruction were important factors in the outcome of gastric cancer patients, and that surgeons should perform minimal gastric resection with preservation of the duodenal food passage when the gastric stump is tumor-free.

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Focus on the Conditions of Resection and Reconstruction in Gastric Cancer

Ogoshi¹,

Okamoto²,

Nabeshima³

et al. 2005

Digestion

Self Cite

View full text Add to dashboard Cite

show abstract

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Resectable Upper Third Gastric Carcinoma With D2 Lymph Node Dissection

Cited by 1 publication

References 20 publications

Focus on the Conditions of Resection and Reconstruction in Gastric Cancer

Focus on the Conditions of Resection and Reconstruction in Gastric Cancer

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