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Author:

Mu, Guang-Chuan (Mu, Guang-Chuan.) | Huang, Yuan (Huang, Yuan.) | Liu, Zhi-Ming (Liu, Zhi-Ming.) | Chen, Zhi-Bai (Chen, Zhi-Bai.) | Wu, Xiang-Hua (Wu, Xiang-Hua.) | Qin, Xin-Gan (Qin, Xin-Gan.) | Zeng, Yan-Jun (Zeng, Yan-Jun.)

Indexed by:

Scopus SCIE PubMed

Abstract:

BACKGROUND Radical D2 lymphadenectomy for advanced gastric cancer as a standard procedure has gained global consensus. Mounting studies have shown that the number of lymph nodes dissection directly affects the prognosis and recurrence of gastric cancer. Our previous study showed that there was no obvious lymph node around the abnormal hepatic artery derived from the superior mesenteric artery. AIM To investigate the relationship between celiac artery variation and the number of lymph nodes dissection in gastric cancer surgery. METHODS The clinicopathological data of 421 patients treated with radical D2 lymphadenectomy were analyzed retrospectively. The difference of the number of lymph nodes dissection between the celiac artery variation group and the normal vessels group and the relationship with prognosis were analyzed. RESULTS Celiac artery variation was found in 110 patients, with a variation rate of 26.13%. Celiac artery variation, tumor staging, and Borrmann typing were factors that affected lymph node clearance in gastric cancer, and the number of lymph nodes dissection in patients with celiac artery variation was significantly less than that of non-variant groups (P < 0.05). Univariate analysis showed that there was no significant difference in survival time between the two groups (P > 0.05). Univariate and multiple Cox regression analysis showed that celiac artery variation was not a prognostic factor for gastric cancer (P > 0.05). Tumor staging, intraoperative bleeding, and positive lymph node ratio were prognostic factors for gastric cancer patients (all P < 0.05). CONCLUSION The number of lymph nodes dissection in patients with celiac artery variation was reduced, but there was no obvious effect on prognosis. Therefore, lymph nodes around the abnormal hepatic artery may not need to be dissected in radical D2 lymphadenectomy.

Keyword:

Number of lymph nodes Lymphadenectomy Celiac artery variation Gastric cancer Prognosis

Author Community:

  • [ 1 ] [Mu, Guang-Chuan]Guangxi Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 6 Shuangyong St, Nanning 530021, Guangxi Zhuang, Peoples R China
  • [ 2 ] [Huang, Yuan]Guangxi Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 6 Shuangyong St, Nanning 530021, Guangxi Zhuang, Peoples R China
  • [ 3 ] [Chen, Zhi-Bai]Guangxi Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 6 Shuangyong St, Nanning 530021, Guangxi Zhuang, Peoples R China
  • [ 4 ] [Wu, Xiang-Hua]Guangxi Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 6 Shuangyong St, Nanning 530021, Guangxi Zhuang, Peoples R China
  • [ 5 ] [Qin, Xin-Gan]Guangxi Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 6 Shuangyong St, Nanning 530021, Guangxi Zhuang, Peoples R China
  • [ 6 ] [Liu, Zhi-Ming]Guangxi Med Univ, Affiliated Hosp 2, Dept Gen Surg, Nanning 530000, Guangxi Zhuang, Peoples R China
  • [ 7 ] [Zeng, Yan-Jun]Beijing Univ Technol, Biomech & Med Informat Inst, Beijing 100124, Peoples R China

Reprint Author's Address:

  • [Huang, Yuan]Guangxi Med Univ, Affiliated Hosp 1, Dept Gastrointestinal Surg, 6 Shuangyong St, Nanning 530021, Guangxi Zhuang, Peoples R China

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Source :

WORLD JOURNAL OF GASTROINTESTINAL ONCOLOGY

ISSN: 1948-5204

Year: 2019

Issue: 6

Volume: 11

Page: 499-508

3 . 0 0 0

JCR@2022

JCR Journal Grade:3

Cited Count:

WoS CC Cited Count: 4

SCOPUS Cited Count: 5

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 4

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