D2 gastrectomy with versus without bursectomy for gastric cancer

Area of Science:

• Surgical Oncology
• Gastrointestinal Surgery
• Gastric Cancer Research

Background:

• Gastric cancer management often involves extensive lymphadenectomy.
• The role of bursectomy in conjunction with D2 gastrectomy remains a subject of investigation.
• Evaluating additional surgical procedures is crucial for optimizing patient outcomes.

Purpose of the Study:

• To determine if bursectomy offers a survival benefit when combined with D2 gastrectomy for gastric cancer.
• To compare the prognosis of patients who underwent D2 gastrectomy with bursectomy versus those who had D2 gastrectomy alone.
• To assess the impact of bursectomy on survival outcomes in gastric cancer surgery.

Main Methods:

• Retrospective analysis of 254 patients with Stage IA to IIIC gastric cancer.
• Patients were divided into two groups: D2 gastrectomy with bursectomy and D2 gastrectomy alone.
• Surgical data and survival outcomes were collected and compared between the groups.

Main Results:

• No significant differences were found in metastatic nodes or serosal penetration between the groups.
• Overall complication rates were comparable: 24.0% in the bursectomy group and 25.6% in the nonbursectomy group.
• The 5-year overall survival rates were 85.8% (bursectomy) and 80.8% (nonbursectomy), with no statistically significant difference (P=0.60).

Conclusions:

• Bursectomy in addition to D2 gastrectomy does not appear to provide a survival benefit for gastric cancer patients.
• The addition of bursectomy did not significantly alter survival outcomes or complication rates compared to D2 gastrectomy alone.
• This retrospective study suggests that D2 gastrectomy alone is sufficient for achieving comparable survival results.