Experience Summary on Group No.6 Lymphadenectomy of Laparoscopic Gastrectomy with D2 Lymph Node Dissection for Distal Gastric Cancer in 141 Cases_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

 LIUJin-sheng ,  HUANGLiang-xiang , ZENGChang-qing , LIJian-dang , HEXie

Department of Gastrointestinal Surgery of Fujian Provincial Hospital, Provincial Clinical College of Fujian Medical University, Fuzhou 350001, Fujian Province, China;

Corresponding author：

HUANGLiang-xiang, Email: 48448397@qq.com

Keywords：

Gastric cancer; Laparoscopic operation; Lymphadenectomy; Anatomy

DOI：

10.7507/1007-9424.20140106

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To study the significance, methods, and technique of group No.6 lymphadenectomy of the laparoscopic gastrectomy with D2 lymph node dissection for distal gastric cancer. Methods The relevant data of the 141 examples of group No.6 lymphadenectomy of the laparoscopic gastrectomy with D2 lymph node dissection for distal gastric cancer from Jan.1, 2008 to Dec.31, 2011 were retrospectively analysized. Results One hundred and forty-one patients were successfully completed the group No.6 lymphadenectomy of laparoscopic distal gastrectomy with D2 lymph node dissection. With the number of cases of operation increasing, the operation time, bleeding volume, incidence rate of complication, and the number of operation transit cases stepped down year by year, and the number of the lymph node dissection stepped up (P < 0.000 1). No case died of the lymphadenectomy of the group No.6 lymph node. The medium vessels of colon, pancreas, and the gastroduodenal artery were the anatomic landmarks of the group No.6 lymphadenectomy. The space between the anterior lobe and the posterior lobe of transverse mesocolon and the prepancreatic space were the important surgical plane to carry out the group No.6 lymphadenectomy. Conclusions Only a team shall complete a certain amount of the operation, take the medium vessels of colon, pancreas, and the gastroduodenal artery as the anatomic landmark, accurately identify the space between the anterior lobe and the posterior lobe of transverse mesocolon, and the prepancreatic space, and take operation on the correct surgical plane, shall the group No.6 lymphadenectomy conform to the principle of the radical cure of the tumour and achieve the aim of the minimal invasion.

Citation： LIUJin-sheng, HUANGLiang-xiang, ZENGChang-qing, LIJian-dang, HEXie. Experience Summary on Group No.6 Lymphadenectomy of Laparoscopic Gastrectomy with D2 Lymph Node Dissection for Distal Gastric Cancer in 141 Cases. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2014, 21(4): 437-441. doi: 10.7507/1007-9424.20140106 Copy

1.	Kitano S, Iso Y, Moriyama M, et al. Laparoscopy-assisted Billroth I gastrectomy[J]. Surg Laparosc Endosc, 1994, 4(2):146-148.
2.	Shiraishi N, Yasuda K, Kitano S. Laparoscopic gastrectomy with lymph node dissection for gastric cancer[J]. Gastric cancer, 2006, 9(3):167-176.
3.	Japan Society for Endoscopic Surgery (2008) Nationwide survey on endoscopic surgery in Japan.Jpn Soc Endosc Surg, 2008, 13(5):499-604.
4.	李国立, 李宁, 黎介寿.胃癌根治术中对第6组淋巴结清扫的方法及其意义[J].外科理论与实践, 2005, 10(5):466-467.
5.	李国新.腹腔镜远端胃癌D2淋巴廓清的解剖学思路[J].中华胃肠外科杂志, 2010, 13(6):400-402.
6.	Zhang M, Zhu G, Ma Y, et al. Comparison of four staging systems of lymph node metastasis in gastric cancer[J]. World J Surg, 2009, 33(11):2383-2388.
7.	Bilici A, Seker M, Ustaalioglu BBO, et al. Determining of metas-tatic lymph node ratio in patients who underwent D2 dissection for gastric cancer[J]. Med Oncol, 2010, 27(3):975-984.
8.	所剑.胃癌的淋巴结清扫及意义[J].中国普外基础与临床杂志, 2010, 17(1):5-7.
9.	汤黎明, 钱峻, 朱杰, 等.腹腔镜胃癌D2根治术在进展期胃癌中的应用探讨[J].中国微创外科杂志, 2009, 8(12):1079-1081.
10.	余佩武, 罗华星.腹腔镜胃癌根治术的研究进展[J].中华胃肠外科杂志, 2009, 12(2):208-210.
11.	Lee J, Kim W. Long-term outcomes after laparoscopy-assisted gastrectomy for advanced gastric cancer:analysis of consecutive 106 experiences[J]. J Surg Oncol, 2009, 100(8):693-698.
12.	Strong VE, Devaud N, Allen PJ, et al. Laparoscopic versus open subtotal gastrectomy for adenocarcinoma:a case-control study[J]. Ann Surg Oncol, 2009, 16(6):1507-1513.
13.	黄昌明, 林建贤, 郑朝辉, 等.腹腔镜辅助胃癌根治术淋巴结清扫效果的临床对照研究[J].中华外科杂志, 2011, 49(3):200-203.
14.	徐钧, 张瑞, 董永红, 等.腹腔镜辅助与开腹远端胃癌D2根治术的治疗效果比较[J].中华实验外科杂志, 2012, 29(11):2294-2296.
15.	黄江龙, 卫洪波, 郑宗珩, 等.进展期远端胃癌腹腔镜与开腹根治术的对照研究[J].中华胃肠外科杂志, 2012, 15(6):615-617.
16.	叶再生, 应敏刚, 陈路川, 等.腹腔镜与开腹行胃癌D2根治术的对照研究及中期随访报告[J].中国微创外科杂志, 2013, 13(11):977-981.
17.	Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer:experience with more than 600 cases[J]. Surg Endosc, 2008, 22(5):1161-1164.
18.	Huscher CG, Mingoli A, Sgarzini G, et al. Totally laparoscopic total and subtotal gastrectomy with extended lymph node dissection for early and advanced gastric cancer:early and long-term results of a 100-patient series[J]. Am J Surg, 2007, 194(6):839-844.
19.	陈钶, 牟一平, 徐晓武, 等.腹腔镜辅助根治性全胃切除术的Meta分析[J].中华普通外科杂志, 2012, 27(12):1014-1019.
20.	钟辉, 冯东亮, 唐昊.腹腔镜与开腹手术治疗胃癌的临床疗效比较[J].中国现代普通外科进展, 2013, 16(8):639-641.
21.	Hayashi H, Ochiai T, Shimada H, et al. Prospective randomized study of open versus laparoscopy-assisted distal gastrectomy with extraperigastric lymph node dissection for early gastric cancer[J]. Surg Endosc, 2005, 19(9):1172-1176.
22.	李国立, 刘福坤, 黎介寿.不同区域胃癌的"前哨结"及其临床意义[J].中华外科杂志, 2000, 38(11):879.
23.	李国立, 刘福坤, 曹建民, 等.血管造影对胃癌浸润深度的诊断及对淋巴结转移规律的观察[J].中华外科杂志, 2001, 39(3):232-234.
24.	Nunobe S, Hiki N, Ohyama S, et al. Outcome of surgical treatment for patients with locoregional recurrence of gastric cancer[J]. Langenbecks Arch Surg, 2011, 396(2):161-166.
25.	日本胃癌學會.胃癌取扱い規約[M].第14版.東京:金原出版, 2010:2-18.
26.	张策, 余江, 王亚楠, 等.胰腺和胰周间隙的活体解剖学特点及其对腹腔镜远端胃癌D2切除术的启示[J].中华胃肠外科杂志, 2009, 12(2):117-120.
27.	李国新, 张策, 余江.腹腔镜辅助远端胃癌D2根治术:基于解剖的艺术[J].外科理论与实践, 2008, 12(6):533-538.

1. Kitano S, Iso Y, Moriyama M, et al. Laparoscopy-assisted Billroth I gastrectomy[J]. Surg Laparosc Endosc, 1994, 4(2):146-148.
2. Shiraishi N, Yasuda K, Kitano S. Laparoscopic gastrectomy with lymph node dissection for gastric cancer[J]. Gastric cancer, 2006, 9(3):167-176.
3. Japan Society for Endoscopic Surgery (2008) Nationwide survey on endoscopic surgery in Japan.Jpn Soc Endosc Surg, 2008, 13(5):499-604.
4. 李国立, 李宁, 黎介寿.胃癌根治术中对第6组淋巴结清扫的方法及其意义[J].外科理论与实践, 2005, 10(5):466-467.
5. 李国新.腹腔镜远端胃癌D2淋巴廓清的解剖学思路[J].中华胃肠外科杂志, 2010, 13(6):400-402.
6. Zhang M, Zhu G, Ma Y, et al. Comparison of four staging systems of lymph node metastasis in gastric cancer[J]. World J Surg, 2009, 33(11):2383-2388.
7. Bilici A, Seker M, Ustaalioglu BBO, et al. Determining of metas-tatic lymph node ratio in patients who underwent D2 dissection for gastric cancer[J]. Med Oncol, 2010, 27(3):975-984.
8. 所剑.胃癌的淋巴结清扫及意义[J].中国普外基础与临床杂志, 2010, 17(1):5-7.
9. 汤黎明, 钱峻, 朱杰, 等.腹腔镜胃癌D2根治术在进展期胃癌中的应用探讨[J].中国微创外科杂志, 2009, 8(12):1079-1081.
10. 余佩武, 罗华星.腹腔镜胃癌根治术的研究进展[J].中华胃肠外科杂志, 2009, 12(2):208-210.
11. Lee J, Kim W. Long-term outcomes after laparoscopy-assisted gastrectomy for advanced gastric cancer:analysis of consecutive 106 experiences[J]. J Surg Oncol, 2009, 100(8):693-698.
12. Strong VE, Devaud N, Allen PJ, et al. Laparoscopic versus open subtotal gastrectomy for adenocarcinoma:a case-control study[J]. Ann Surg Oncol, 2009, 16(6):1507-1513.
13. 黄昌明, 林建贤, 郑朝辉, 等.腹腔镜辅助胃癌根治术淋巴结清扫效果的临床对照研究[J].中华外科杂志, 2011, 49(3):200-203.
14. 徐钧, 张瑞, 董永红, 等.腹腔镜辅助与开腹远端胃癌D2根治术的治疗效果比较[J].中华实验外科杂志, 2012, 29(11):2294-2296.
15. 黄江龙, 卫洪波, 郑宗珩, 等.进展期远端胃癌腹腔镜与开腹根治术的对照研究[J].中华胃肠外科杂志, 2012, 15(6):615-617.
16. 叶再生, 应敏刚, 陈路川, 等.腹腔镜与开腹行胃癌D2根治术的对照研究及中期随访报告[J].中国微创外科杂志, 2013, 13(11):977-981.
17. Tanimura S, Higashino M, Fukunaga Y, et al. Laparoscopic gastrectomy for gastric cancer:experience with more than 600 cases[J]. Surg Endosc, 2008, 22(5):1161-1164.
18. Huscher CG, Mingoli A, Sgarzini G, et al. Totally laparoscopic total and subtotal gastrectomy with extended lymph node dissection for early and advanced gastric cancer:early and long-term results of a 100-patient series[J]. Am J Surg, 2007, 194(6):839-844.
19. 陈钶, 牟一平, 徐晓武, 等.腹腔镜辅助根治性全胃切除术的Meta分析[J].中华普通外科杂志, 2012, 27(12):1014-1019.
20. 钟辉, 冯东亮, 唐昊.腹腔镜与开腹手术治疗胃癌的临床疗效比较[J].中国现代普通外科进展, 2013, 16(8):639-641.
21. Hayashi H, Ochiai T, Shimada H, et al. Prospective randomized study of open versus laparoscopy-assisted distal gastrectomy with extraperigastric lymph node dissection for early gastric cancer[J]. Surg Endosc, 2005, 19(9):1172-1176.
22. 李国立, 刘福坤, 黎介寿.不同区域胃癌的"前哨结"及其临床意义[J].中华外科杂志, 2000, 38(11):879.
23. 李国立, 刘福坤, 曹建民, 等.血管造影对胃癌浸润深度的诊断及对淋巴结转移规律的观察[J].中华外科杂志, 2001, 39(3):232-234.
24. Nunobe S, Hiki N, Ohyama S, et al. Outcome of surgical treatment for patients with locoregional recurrence of gastric cancer[J]. Langenbecks Arch Surg, 2011, 396(2):161-166.
25. 日本胃癌學會.胃癌取扱い規約[M].第14版.東京:金原出版, 2010:2-18.
26. 张策, 余江, 王亚楠, 等.胰腺和胰周间隙的活体解剖学特点及其对腹腔镜远端胃癌D2切除术的启示[J].中华胃肠外科杂志, 2009, 12(2):117-120.
27. 李国新, 张策, 余江.腹腔镜辅助远端胃癌D2根治术:基于解剖的艺术[J].外科理论与实践, 2008, 12(6):533-538.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Experience Summary on Group No.6 Lymphadenectomy of Laparoscopic Gastrectomy with D2 Lymph Node Dissection for Distal Gastric Cancer in 141 Cases

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content