Song W, Chen JH, Zhang XH, Xu JB, He YL, Cai SR, Han FH, Chen CQ. Effect of somatostatin in advanced gastric cancer after D2 radical gastrectomy. World J Gastroenterol 2014; 20(40): 14927-14933 [PMID: 25356053 DOI: 10.3748/wjg.v20.i40.14927]
Corresponding Author of This Article
Yu-Long He, MD, Department of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Zhongshan Road No 2, Guangzhou 510080, Guangdong Province, China. ylh@medmail.com.cn
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Clinical Trials Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Oct 28, 2014; 20(40): 14927-14933 Published online Oct 28, 2014. doi: 10.3748/wjg.v20.i40.14927
Table 1 Clinical pathological indicator of patients in the trial group and the control group
Trial group
Control group
Statistic value
P value
Age
56.3 ± 15.0
55.7 ± 14.7
0.209
0.835
Sex (male/female)
31:30
34:25
0.560
0.454
BMI
22.3 ± 5.0
23.0±4.7
0.861
0.391
Tumor size
4.7 ± 2.9
4.6 ± 3.1
0.325
0.746
T stage (T1/T2/T3/T4a)
0/15/28/18
0/13/29/19
0.187
0.911
Borrmann type (I/II/III/IV)
6/15/31/9
7/16/29/7
1.761
0.623
Histological type (differentiated/undifferentiated)
31/30
32/29
0.033
0.856
Operation time
207.7 ± 39.8
218.0 ± 56.5
1.152
0.252
Blood loss
211.3 ± 77.6
203.7 ± 54.6
0.617
0.538
Number of lymph nodes
29.3 ± 10.5
28.5 ± 8.6
0.479
0.633
Anastomotic method (billroth I/II Roux-en-Y)
0/35/26
0/34/25
0.146
0.702
Gastrectomy method (proximal/distal/total)
0/35/26
0/34/25
0.146
0.702
Lymph node dissection method (D2/D2PRO)
31/20
28/21
0.082
0.775
With organ resection (yes/no)
11/50
12/47
0.103
0.748
TNM stage (1/2/3/4)
0/18/33/10
0/16/32/9
0.050
0.975
Table 2 Post-operative complications in the trial group and the control group
Complication
Trial group
Control group
P-value
Pancreatic fistula
2
3
0.484
Stoma fistula
1
0
0.508
Peritoneal effusion or abscess
1
6
0.046
Bowel obstruction
0
1
0.492
Pneumonia
2
0
0.256
Chylous fistula
3
3
0.644
Incision infection or dehiscence
2
1
0.513
Post-operative pancreatitis
1
2
0.487
Total
14
17
0.463
Table 3 Gastric and peritoneal drainage volumes and duration in the study group and the control group
Study group
Control group
Statistic value
P-value
Mean daily drainage volume of gastric fluid (mL)
n = 35
n = 34
mean ± SD
136.1 ± 74.5
201.4 ± 81.0
4.595
< 0.001
Range
20-400
50-800
Gastric tube indwelling duration (d)
mean ± SD
2.7 ± 1.0
3.3 ± 1.6
2.390
0.018
Mean peritoneal drainage volume (mL)
n = 61
n = 59
mean ± SD
165.9 ± 73.1
203.1 ± 99.2
2.395
0.018
Range
50-350
80-550
Drainage tube indwelling duration (d)
mean ± SD
4.1 ± 1.0
5.0 ± 1.8
3.365
0.001
Table 4 Drainage volume of chyle after the operation in the trial group and the control group
Trial group (n = 61)
Control group (n = 59)
Statistic value
P-value
Peritoneal drainage volume (mL)
mean ± SD
258.3 ± 60.1
388.9 ± 63.7
2.745
0.041
Range
210.0-360.0
330.0-510.0
Drainage duration (d)
mean ± SD
7.7 ± 2.5
15.8 ± 4.4
2.800
0.038
Range
5.0-10.0
11.0-20.0
Table 5 Post-operative amylase in blood and drainage fluid and peritoneal drainage volumes of patients with pancreatic fistula in the study group and the control group
Day 1 post-operation
Day 3 post-operation
Day 5 post-operation
Study group (n = 8)
Control group (n = 7)
Study group (n = 8)
Control group (n = 7)
Study group (n = 8)
Control group (n = 7)
Serum amylase
165.1 ± 40.2
179.1 ± 64.2
79.0 ± 33.4
107.8 ± 45.2
49.0 ± 22
80.7 ± 48.8
t value = 0.577
P = 0.572
t value = 1.590
P = 0.130
t value = 1.853
P = 0.081
Drainage volume
191.0 ± 61.2
281.7 ± 106.4
171.1 ± 44.0
224.0 ± 54.6
120.0 ± 64.1
178.9 ± 47.6
t value = 2.309
P = 0.034
t value = 2.308
P = 0.034
t value = 2.251
P = 0.038
Amylase in drainage fluid
808.6 ± 133.5
1108.6 ± 246.9
388.0 ± 154.5
630.3 ± 215.0
108.4 ± 72.1
134.6 ± 92.6
t value = 2.521
P = 0.022
t value = 2.532
P = 0.025
t value = 0.616
P = 0.549
Citation: Song W, Chen JH, Zhang XH, Xu JB, He YL, Cai SR, Han FH, Chen CQ. Effect of somatostatin in advanced gastric cancer after D2 radical gastrectomy. World J Gastroenterol 2014; 20(40): 14927-14933