Outcome analysis of laporoscopic D1 and D2 dissection in patients 70 years and older with gastric cancer

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dc.authorid0000-0003-2006-9198
dc.authorscopusid17433815200
dc.authorscopusid35410250800
dc.authorscopusid55624501100
dc.authorscopusid8204207500
dc.authorscopusid56414492000
dc.authorscopusid55445082300
dc.authorscopusid8666331800
dc.authorwosidYildirim, Oguzhan/ABI-8174-2020
dc.authorwosidGurdal, Sibel Ozkan/ABA-3882-2020
dc.authorwosidSözen, Selim/ABA-6337-2020
dc.contributor.authorEmir, Seyfi
dc.contributor.authorSözen, Selim
dc.contributor.authorBali, İlhan
dc.contributor.authorGürdal, Sibel Özkan
dc.contributor.authorTuran, Bünyamin Cüneyt
dc.contributor.authorYıldırım, Oguzhan
dc.contributor.authorYetişyiğit, Tarkan
dc.date.accessioned2022-05-11T14:07:43Z
dc.date.available2022-05-11T14:07:43Z
dc.date.issued2014
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Anesteziyoloji ve Reanimasyon Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, İç Hastalıkları Ana Bilim Dalı
dc.departmentFakülteler, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Radyasyon Onkolojisi Ana Bilim Dalı
dc.description.abstractObjective: Gastric cancer is a worldwide aggressive tumor with a bad prognosis. The purpose of this study was to retrospectively investigate operative findings of 53 patients aged over 70 with gastric cancer who underwent laporoscopic operations in our clinic. Material and methods: A retrospective review of all patients who underwent laporoscopic surgery for pathologically confirmed gastric cancer at our clinic between March 2008 and October 2010 was conducted. D1 resection (Level1 lymphadenectomy) was compared with D2 resection (Levels 1 and 2 lymphadenectomy). The two groups in which D1 and D2 Lymph node Dissection (LND) were applied were compared with respect to number of patients, sex, age, stage of disease, and score of American Society of Anesthesiologists (ASA). We analyzed surgical methods, the use of staplers, operative time, additional organ resections, hospital stay, postoperative complications and the need for re-operation, operative mortality, and the effects of prognostic factors on survival. Results: The patient group consisted of 31 (58%) males and 22 (42%) females. Of the patients, 28 (52%) underwent D1 and 25 (48%) D2 LND. There was a significant difference between the two groups with regard to length of surgery (p < 0.01). The length of operation, blood loss, and transfusion requirement in the D2 group were significantly more than those in the D1 group. There was no mortality in cases that underwent additional organ resection. The survival times of cases with a <= 0.25 ratio of dissected number of lymph nodes to metastatic lymph nodes were significantly longer than those of other cases. The survival time of cases with perineural and vascular invasion was significantly shorter. The survival rates of Stage I patients was significantly higher than those of Stage III (p: 0.002) and Stage IV (p: 0.003) patients. Conclusions: Although extensive dissection had an increased morbidity, there was no significant statistical difference between the two procedures. Early complications should not be attributed only to the extent of LND. The important prognostic factors related to long-time survival are the stage of the tumor, perineural and perivascular invasion, and metastatic lymph nodes.
dc.identifier.endpage3511
dc.identifier.issn1940-5901
dc.identifier.issue10en_US
dc.identifier.pmid25419390
dc.identifier.scopus2-s2.0-84910051992
dc.identifier.scopusqualityN/A
dc.identifier.startpage3501
dc.identifier.urihttps://hdl.handle.net/20.500.11776/5182
dc.identifier.volume7
dc.identifier.wosWOS:000345121100048
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorEmir, Seyfi
dc.institutionauthorSözen, Selim
dc.institutionauthorBali, İlhan
dc.institutionauthorGürdal, Sibel Özkan
dc.institutionauthorTuran, Bünyamin Cüneyt
dc.institutionauthorYıldırım, Oguzhan
dc.institutionauthorYetişyiğit, Tarkan
dc.language.isoen
dc.publisherE-Century Publishing Corp
dc.relation.ispartofInternational Journal of Clinical and Experimental Medicine
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectLaparoscopic surgery
dc.subjectgastric cancer
dc.subjectolder patients
dc.subjectAssisted Distal Gastrectomy
dc.subjectLymph-Node Dissection
dc.subjectPrognostic-Factors
dc.subjectOperative Morbidity
dc.subjectLaparoscopy
dc.subjectSurgery
dc.subjectMortality
dc.subjectAdenocarcinoma
dc.subjectMulticenter
dc.subjectPredictors
dc.titleOutcome analysis of laporoscopic D1 and D2 dissection in patients 70 years and older with gastric cancer
dc.typeArticle

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