The value of D1 lymphadenectomy as prognostic marker in gastric cancer
A Diaz de Liaño1, M A Ciga, F Oteiza
1Department of General and Gastrointestinal Surgery, Hospital Virgen del Camino, C/Irunlarrea 4, 31008, Pamplona, Navarra, Spain.
Background/Aims:
To assess if the study on the involvement of perigastric lymph nodes, the only ones resected in D1 lymphadenectomy, is a valid prognostic marker in patients undergoing curative resection for gastric cancer.
Methodology:
A retrospective study was performed in 101 patients with gastric cancer, 34 women and 67 men, with a mean age of 61 years, undergoing curative resection by gastrectomy and D1 lymphadenectomy. Tumor size, the depth of tumoral invasion of the wall, nodal involvement and 5-year survival were assessed.
Results:
Both tumor size and the depth of tumoral invasion of the wall were significantly related to metastatic involvement of perigastric lymph nodes. Similarly, tumoral involvement of the first-level lymph nodes was significantly associated with survival.
Conclusions:
D1 lymphadenectomy can provide adequate prognostic information in patients with gastric cancer undergoing curative resection.