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Extended lymphadenectomy for gastric cancer: a single center experience in Istanbul
Umit Topaloglu1, Ender Dulundu, Erkan Ozkan
15th General Surgery Department of Haydarpasa Numune Training and Research Hospital, Istanbul, Turkey. umit@ttnet.net.tr
Background/Aims:
Surgery is the only potentially curative treatment for gastric carcinoma. Western surgeons have recently performed extended operations while Japanese surgeons reported therapeutic value of extended lymphadenectomy (D2, D3) long before. We aimed to observe the benefits and hazards of this procedure.
Methodology:
We analyzed respectively 56 patients operated for gastric cancer between 2001 and 2004.
Results:
Thirty-five patients were male and median age was 63 years (range, 34-85 years). Subtotal and total gastrectomies were performed in 29 and 27 patients, respectively. Tumor extension and patient's physical status determined the extent of node dissection. Disease stage was III or IV in 63.2% of patients. Number of maximal nodes resected was 48 and maximal metastatic node count was 41. Splenectomy was performed in 4 (14%). Roux en Y anastomosis was performed either manually or with a circular stapler. Four patients (7.1%) had postoperative complications with no hospital mortality.
Conclusions:
Gastric resection with extended lymph node dissection is a safe procedure with acceptable morbidity when performed by an experienced surgeon.
