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Anatomical variation of infra-pyloric artery origination: A prospective multicenter observational study (IPA-Origin)

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收录情况： ◇ SCIE ◇ 统计源期刊 ◇ CSCD-C

作者：
Miao, Rulin[1] ; Qu, Jianjun[2] ; Li, Zhengrong[3] ; Wang, Daguang[4] ; Yu, Jiang[5] ; Zang, Weidong[6] ; Li, Yong[7] ; Liu, Fenglin[8] ; Zhang, Jian[9] ; Song, Wu[10] ; Ye, Kai[11] ; Yan, Su[12] ; Wang, Wei[13] ; Ren, Shuangyi[14] ; Zang, Lu[15] ; Jing, Changqing[16] ; Zhang, Li[16] ; Wang, Kuan[17] ; Fu, Weihua[18] ; Fan, Lin[19] ; Liang, Bin[20] ; Zhao, Gang[21] ; Cai, Jun[22] ; Yang, Li[23] ; Zhu, Jiaming[24] ; You, Jun[25] ; Yang, Kun[26] ; Huang, Qingxing[27] ; Niu, Zhaojian[28] ; Ning, Ning[29] ; Qiu, Xingfeng[30] ; Ji, Gang[31] ; Liang, Feng[32] ; Huang, Hua[33] ; Gao, Chao[1] ; Shan, Fei[1] ; Li, Shuangxi[1] ; Jia, Yongning[1] ; Zhang, Lianhai[1] ; Ying, Xiangji[1] ; Zhang, Yan[1] ; Bu, Zhaode[1] ; Su, Xiangqian[1] ; Zhao, Gang[34,*3] ; Li, Ziyu[1,*2] ; Ji, Jiafu[1,*1] ;
机构： [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China [2]Department of Surgical Oncology, Weifang People’s Hospital, Weifang 261000, China [3]Department of General Surgery, the First Affiliated Hospital of Nanchang University, Nanchang 330006, China [4]Department of Gastrointestinal Surgery, the First Hospital of Jilin University, Changchun 130021, China [5]Department of General Surgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China [6]Department of Gastrointestinal Cancer Surgery, Fujian Provincial Cancer Hospital, Fuzhou 350014, China [7]Department of General Surgery, Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou 510080, China [8]Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China [9]Department of Gastrointestinal Surgery, Hangzhou First People’s Hospital, Hangzhou 310006, China [10]Department of Gastrointestinal Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou 510080, China [11]Department of Surgical Oncology, the Second Affiliated Hospital of Fujian Medical University, Quanzhou 362000, China [12]Department of Surgical Oncology, Affiliated Hospital of Qinghai University, Xining 810001, China [13]Department of Gastrointestinal Surgery, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou 510120, China [14]Department of General Surgery, the Second Hospital of Dalian Medical University, Dalian 116023, China [15]Department of General Surgery, Shanghai Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200025, China [16]Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250021, China [17]Department of Gastrointestinal Surgery, Harbin Medical University Cancer Hospital, Harbin 150081, China [18]Department of General Surgery, Tianjin Medical University General Hospital, Tianjin 300052, China [19]Department of General Surgery, the First Affiliated Hospital of Xi’an Jiaotong University, Xi’an 710061, China [20]Department of Gastroenterological Surgery, Peking University People’s Hospital, Beijing 100044, China [21]Department of General Surgery, National Center of Gerontology, Beijing 100730, China [22]Department of General Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China [23]Department of Gastrointestinal Surgery, Jiangsu Province Hospital, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210005, China [24]Department of Gastrointestinal Surgery, the Second Hospital of Jilin University, Changchun 130041, China [25]Department of Gastrointestinal Surgery, the First Affiliated Hospital of Xiamen University, Xiamen 361003, China [26]Department of Gastrointestinal Surgery, West China Hospital of Sichuan University, Chengdu 610041, China [27]Department of Digestive Endoscopic and Minimally Invasive Surgery, Shanxi Provincial Cancer Hospital, Taiyuan 030013, China [28]Department of General Surgery, the Affiliated Hospital of Qingdao University, Qingdao 266003, China [29]Department of Gastrointestinal Surgery, Peking University International Hospital, Beijing 102206, China [30]Department of Gastrointestinal Surgery, Zhongshan Hospital Xiamen University, Xiamen 361004, China [31]Department of Gastrointestinal Surgery, Xijing Hospital, Fourth Military Medical University, Xi’an 710032, China [32]Department of General Surgery, the 307th Hospital of Chinese People’s Liberation Army, Beijing 100071, China [33]Department of Gastric Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, China [34]Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
出处：
DOI： 10.21147/j.issn.1000-9604.2018.05.03
ISSN：

关键词： Infra-pyloric artery origination anatomy gastric cancer

摘要：
Objective: Infra-pyloric artery (IPA) is an important anatomical landmark in treatment of gastric cancer and is the key vessel for pylorus-preserving gastrectomy and subgroup of infra-pyloric lymph nodes. However, its anatomical variation is not thoroughly understood. Our study aimed to clarify the origination of the IPA. Methods: We did this prospective, multicenter, open-label, observational study at gastric surgery departments of 34 hospitals in China. Gastric cancer patients aged 18 years or older and scheduled to undergo elective total or distal gastrectomy were assigned. During the surgery, IPA dissecting and exposing the origination point with photographs or video clips were required. The primary outcome was the origination of the IPA. Analysis of variance, chi(2) tests and Fisher's tests were used to analyze the differences between groups. The study is registered at Clinicaltrials.gov (No. NCT03071237). Results: Between May 8 and July 31, 2017, 429 patients were assigned for the study, and 419 (97.7%) patients had the IPA dissected and recorded through photograph or video and were included in the primary outcome analysis. The median age was 62 years old, and 73.7% were male. Among the patients, 78.5% received laparoscopic surgery. Single IPA origination was identified in 398 (95.0%) patients, including gastroduodenal artery (GDA) in 154 (36.8%) patients, anterior superior pancreaticoduodenal artery (ASPDA) in 130 (31.0%) patients, and right gastroepiploic artery (RGEA) in 114 (27.2%) patients. Fifteen (3.6%) patients were identified with multiple IPA and 6 (1.4%) patients were identified as IPA absence. The differences in the distribution of surgical approach (P=0.003) and geographic area (P=0.030) were statistically significant. No difference was shown in sex, age, gastrectomy type, tumor location, and clinical T, N and M stage. Conclusions: Our study found that the IPA originates from GDA, ASPDA and RGEA in similar proportions. Laparoscopic surgery may be more helpful in dissection of the IPA than open surgery.

基金：
Gastric Cancer Diagnose and Treatment Project of Beijing Municipal Science & Technology Commission [D171100006517004, D17110700650000]; Beijing Municipal Administration of Hospital Clinical Medicine Development of Special Funding Support [ZYLX201701]
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外文
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中科院(CAS)分区：
出版当年[2018]版：
大类 | 3 区 医学
小类 | 4 区 肿瘤学
最新[2023]版：
大类 | 2 区 医学
小类 | 3 区 肿瘤学
JCR分区：
出版当年[2018]版：
Q3 ONCOLOGY
最新[2023]版：
Q1 ONCOLOGY

影响因子： 最新[2023版] 最新五年平均 出版当年[2018版] 出版当年五年平均 出版前一年[2017版] 出版后一年[2019版]

第一作者：
第一作者机构： [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China
共同第一作者：
通讯作者：
通讯机构： [1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China [34]Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China [*1]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China [*2]Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Gastrointestinal Cancer Center, Peking University Cancer Hospital & Institute, Beijing 100142, China [*3]Department of Gastrointestinal Surgery, Renji Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China
推荐引用方式(GB/T 7714)：
Miao Rulin,Qu Jianjun,Li Zhengrong,et al.Anatomical variation of infra-pyloric artery origination: A prospective multicenter observational study (IPA-Origin)[J].CHINESE JOURNAL OF CANCER RESEARCH.2018,30(5):500-+.doi:10.21147/j.issn.1000-9604.2018.05.03.
APA：
Miao, Rulin,Qu, Jianjun,Li, Zhengrong,Wang, Daguang,Yu, Jiang...&Ji, Jiafu.(2018).Anatomical variation of infra-pyloric artery origination: A prospective multicenter observational study (IPA-Origin).CHINESE JOURNAL OF CANCER RESEARCH,30,(5)
MLA：
Miao, Rulin,et al."Anatomical variation of infra-pyloric artery origination: A prospective multicenter observational study (IPA-Origin)".CHINESE JOURNAL OF CANCER RESEARCH 30..5(2018):500-+

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