机构：[1]Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu 610041, Sichuan Province, China.四川大学华西医院[2]Institute of Gastric Cancer, State Key Laboratory of Biotherapy/Collaborative Innovation Center of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, China.四川大学华西医院[3]Department of Gastrointestinal Surgery, West China Hospital Sichuan Univerity Jintang Hospital, Chengdu, China.
A complete dissection of infrapyloric lymph nodes is the key to a curative gastrectomy, which can be sometimes technically challenging in laparoscopic surgery.
One hundred and eighteen patients with gastric cancer undergoing laparoscopic gastrectomy with D2 lymphadenectomy in which the infrapyloric lymph nodes were dissected through the right bursa omentalis approach were included. The clinicopathologic characteristics and surgical outcomes were analyzed retrospectively.
The laparoscopic gastrectomy with D2 lymphadenectomy was successful in all 118 patients with no open conversion. The mean operation time was 246.6 ± 45.7 min. The mean estimated blood loss was 87.0 ± 35.9 mL. Postoperative complications occurred in 17.8% of the patients, which were treated successfully with conservative therapy or aspiration in all. There were no No.6 lymphadenectomy-associated complications, such as injury of transverse colon, vessels of mesocolon, pancreas or duodenum, no pancreatitis, pancreatic leakage or postoperative hemorrhage. The mean postoperative hospital stay was 9.6 ± 3.7 days. On average, the total lymph nodes harvested were 36.8 ± 12.9, in which the ones from the infrapyloric area were 5.1 ± 3.1.
Laparoscopic dissection of infrapyloric lymph nodes through the right bursa omentalis approach seems to be feasible and safe, facilitating a more complete No.6 lymphadenectomy for gastric cancer.
基金：
Domestic support from (1) National Natural Science Foundation of China (No.
81772547); (2) the Fundamental Research Funds for the central Universities
(No. 2017SCU04A18); (3) Young scientific and academic leaders training
program of Sichuan University (No. 0082604151001/035); (4) Foundation of
Science & Technology Department of Sichuan Province (No. 2019YFS0256);
(5) 1. 3. 5 project for disciplines of excellence, West China Hospital, Sichuan
University (No. ZY2017304).
语种：
外文
PubmedID：
中科院(CAS)分区：
出版当年[2021]版：
大类|4 区医学
小类|4 区外科
最新[2023]版：
大类|3 区医学
小类|3 区外科
第一作者：
第一作者机构：[1]Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu 610041, Sichuan Province, China.[2]Institute of Gastric Cancer, State Key Laboratory of Biotherapy/Collaborative Innovation Center of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, China.[3]Department of Gastrointestinal Surgery, West China Hospital Sichuan Univerity Jintang Hospital, Chengdu, China.
通讯作者：
通讯机构：[1]Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, No. 37 Guo Xue Xiang Street, Chengdu 610041, Sichuan Province, China.[2]Institute of Gastric Cancer, State Key Laboratory of Biotherapy/Collaborative Innovation Center of Biotherapy and Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
推荐引用方式(GB/T 7714)：
Kun Yang,Wei‑Han Zhang,Kai Liu,et al.Laparoscopic infrapyloric lymph nodes dissection through the right bursa omentalis approach for gastric cancer.[J].BMC surgery.2021,21(1):216.doi:10.1186/s12893-021-01192-5.
APA：
Kun Yang,Wei‑Han Zhang,Kai Liu,Xin‑Zu Chen,Xiao‑Long Chen...&Jian‑Kun Hu.(2021).Laparoscopic infrapyloric lymph nodes dissection through the right bursa omentalis approach for gastric cancer..BMC surgery,21,(1)
MLA：
Kun Yang,et al."Laparoscopic infrapyloric lymph nodes dissection through the right bursa omentalis approach for gastric cancer.".BMC surgery 21..1(2021):216
