In-depth Analysis of the Effect of Lymph Node Dissection on Long-term Results in Gastric Cancer Surgery
Objective To study the value of D2+No.8p lymph node dissection in resectable advanced gastric cancer that compared with D2 lymph node dissection alone.Methods A total of 130 cases of resectable advanced gastric cancer treated in our hospital from January 2017 to January 2019 were selected,including 70 cases in the D2+8p group and 60 cases in the D2 group.The general clinical data,intraoperative related data and postoperative pathological data of the two groups were compared to evaluate the consistency of data selection between the two groups.Then the survival data of the two groups were statistically analyzed to analyze the long-term advantages of D2+8p lymph node dissection for resectable advanced gastric cancer.Results The comparison of preoperative data between the two groups showed that there were no significant difference in age,gender,tumor location,tumor size,preoperative tumor markers CEA,CA724 and CA199 between the two groups(P＞0.05).The operation time of the D2+8p group was longer than that of the D2 group(P＜0.05),but there was no significant difference in hospitalization time between the two groups(P＞0.05).There were no significant difference in T stage,N stage,AJCC stage,histological differentiation and Lauren classification between the two groups(P＞0.05).The number of lymph nodes detected and the number of positive lymph nodes in the D2+8p group were more than those in the D2 group(P＜0.05).After 3 years and 6 months of follow-up,the survival time of the D2+8p group was longer than that of the D2 group(P＜0.05).Conclusion D2+8p dissection has significant value for the long-term survival of resectable advanced gastric cancer.
万方数据
维普
