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World J Gastroenterol. Feb 14, 2008; 14(6): 936-938
Published online Feb 14, 2008. doi: 10.3748/wjg.14.936
Dissection of No. 13 lymph node in radical gastrectomy for gastric carcinoma
Ding-Feng Shen, Da-Wei Chen, Zhi-Wei Quan, Ping Dong, Xue-Feng Wang, Hai-Zhou Xu, Ming-Lin Zhao, Lei Chen
Ding-Feng Shen, Da-Wei Chen, Zhi-Wei Quan, Ping Dong, Xue-Feng Wang, Hai-Zhou Xu, Ming-Lin Zhao, Lei Chen, Department of General Surgery, Shanghai Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092, China
Correspondence to: Ding-Feng Shen, Department of General Surgery, Shanghai Xinhua Hospital, School of Medicine, Shanghai JiaoTong University, 1665 Kong Jiang Road, Shanghai 200092, China. sdf1665@yahoo.com.cn
Telephone: +86-21-6579000
Fax: +86-21-65795173
Received: June 15, 2007
Revised: December 5, 2007
Published online: February 14, 2008
Abstract

AIM: To evaluate the feasibility and safety of No. 13 lymphadenectomy in radical gastrectomy for gastric carcinoma.

METHODS: Medical records of the patients undergone No. 13 lymph node dissection during D2 gastrectomy for gastric carcinoma, were reviewed from March 2003 to May 2007.

RESULTS: One hundred and fifty-eight patients underwent No. 13 lymph node dissection for D2 gastric carcinoma, of them, 4 (2.53%) were found to have metastasis in No. 13 lymph node. Metastasis to No. 12 lymph node was detected in 6 patients and 4 of them had positive No. 13 lymph node. The operative morbidity except for wound infection was 15.19% (24/158), and hospital death rate was 1.27% (2/158). No obstructive jaundice caused by No. 13 lymph node metastasis after No. 13 lymph node dissection in radical gastrectomy for gastric carcinoma was detected during the follow-up study to end of January 2007.

CONCLUSION: Dissection of No. 13 lymph node in D2 gastrectomy for gastric carcinoma is safe with a low morbidity and mortality rate. Further study is needed to explore its long-term effect.

Keywords: Gastric carcinoma; Lymphadenectomy; Gastric carcinoma; No. 13 lymph node