Journal of Gastric Cancer

The Korean Gastric Cancer Association (대한위암학회)
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Safety of Laparoscopic Sentinel Basin Dissection in Patients with Gastric Cancer: an Analysis from the SENORITA Prospective Multicenter Quality Control Trial

  • An, Ji Yeong (Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Min, Jae Seok (Department of Surgery, Dongnam Institute of Radiological and Medical Sciences, Cancer Center) ;
  • Lee, Young Joon (Department of Surgery, Gyeongsang National University) ;
  • Jeong, Sang Ho (Department of Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University) ;
  • Hur, Hoon (Department of Surgery, Ajou University School of Medicine) ;
  • Han, Sang Uk (Department of Surgery, Ajou University School of Medicine) ;
  • Hyung, Woo Jin (Department of Surgery, Yonsei University College of Medicine) ;
  • Cho, Gyu Seok (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Jeong, Gui Ae (Department of Surgery, Soonchunhyang University College of Medicine) ;
  • Jeong, Oh (Department of Surgery, Chonnam National University Hwasun Hospital) ;
  • Park, Young Kyu (Department of Surgery, Chonnam National University Hwasun Hospital) ;
  • Jung, Mi Ran (Department of Surgery, Chonnam National University Hwasun Hospital) ;
  • Park, Ji Yeon (Gastric Cancer Center, Kyungpook National University Medical Center) ;
  • Kim, Young Woo (Center of Gastric Cancer, National Cancer Center) ;
  • Yoon, Hong Man (Center of Gastric Cancer, National Cancer Center) ;
  • Eom, Bang Wool (Center of Gastric Cancer, National Cancer Center) ;
  • Ryu, Keun Won (Center of Gastric Cancer, National Cancer Center) ;
  • Sentinel Node Oriented Tailored Approach (SENORITA) Study Group (Sentinel Node Oriented Tailored Approach (SENORITA) Study Group)
  • Received : 2018.03.04
  • Accepted : 2018.03.15
  • Published : 2018.03.31
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Abstract

Purpose: We investigated complications after laparoscopic sentinel basin dissection (SBD) for patients with gastric cancer who were enrolled in a quality control study, prior to the phase III trial of sentinel lymph node navigation surgery (SNNS). Materials and Methods: We analyzed prospective data from a Korean multicenter prerequisite quality control trial of laparoscopic SBD for gastric cancer and assessed procedure-related and surgical complications. All complications were classified according to the Clavien-Dindo Classification (CDC) system and were compared with the results of the previously published SNNS trial. Results: Among the 108 eligible patients who were enrolled in the quality control trial, 8 (7.4%) experienced complications during the early postoperative period. One patient with gastric resection-related duodenal stump leakage recovered after percutaneous drainage (grade IIIa in CDC). The other postoperative complications were mild and patients recovered with supportive care. No complications were directly related to the laparoscopic SBD procedure or tracer usage, and there were no mortalities. The laparoscopic SBD complication rates and patterns that were observed in this study were comparable to those of a previously reported trial. Conclusions: The results of our prospective, multicenter quality control trial demonstrate that laparoscopic SBD is a safe procedure during SNNS for gastric cancer.

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References

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