Brief Article
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World J Gastroenterol. Nov 7, 2010; 16(41): 5247-5251
Published online Nov 7, 2010. doi: 10.3748/wjg.v16.i41.5247
Segmental gastrectomy with radical lymph node dissection for early gastric cancer
Takeru Matsuda, Kunihiko Kaneda, Manabu Takamatsu, Keishi Aishin, Masahide Awazu, Akiko Okamoto, Katsunori Kawaguchi
Takeru Matsuda, Kunihiko Kaneda, Manabu Takamatsu, Keishi Aishin, Masahide Awazu, Akiko Okamoto, Katsunori Kawaguchi, Department of Surgery, Kobe Kaisei Hospital, Kobe 657-0078, Japan
Author contributions: Matsuda T designed the study, analyzed the data and wrote the manuscript; Matsuda T, Kaneda K, Takamatsu M, Aishin K, Awazu M, Okamoto A and Kawaguchi K performed the surgery; Kaneda K and Kawaguchi K contributed to the discussion and reviewed the manuscript.
Correspondence to: Takeru Matsuda, MD, Department of Surgery, Kobe Kaisei Hospital, 3-11-15, Shinohara-kitamachi, Nada-ku, Kobe 657-0078, Japan. t-matsuda@sis.seirei.or.jp
Telephone: +81-78-8715201 Fax: +81-78-8715206
Received: May 30, 2010
Revised: July 2, 2010
Accepted: July 9, 2010
Published online: November 7, 2010
Abstract

AIM: To describe a new surgical technique and evaluate the early results of segmental gastrectomy (SG) with modified D2 lymph node (LN) dissection for early gastric cancer (EGC).

METHODS: Fourteen patients with EGC underwent SG with modified D2 dissection from 2006 to 2008. Their operative results and postoperative courses were compared with those of 17 patients who had distal gastrectomy (DG) for EGC during the same period.

RESULTS: Operating time, blood loss, and hospital stay were similar between the 2 groups. Postoperative complications developed significantly more frequently in the DG group than in the SG group. Mean number of dissected LNs per each station in the SG group was comparable with that in the DG group. Postoperative recovery of body weight was significantly better in the SG group than in the DG group. The incidence of reflux esophagitis and gastritis after surgery was less frequent in the SG group than in the DG group.

CONCLUSION: SG with modified D2 LN dissection may be a new function-preserving gastrectomy that is feasible for treatment of EGC with possible LN involvement.

Keywords: Gastrectomy, Early diagnosis, Gastric cancer, Lymph node, Metastasis, Gastrointestinal surgical procedures