Prognostic significance of suprapancreatic lymph nodes and its implication on D2 dissection

There have been few studies on the prognostic significance of suprapancreatic lymph nodes (SPLNs), which are targeted in D2 dissections in patients with gastric cancer. The aim of this study was to investigate the prognostic significance of SPLNs by determining whether treatment outcomes of SPLN-pos...

Full description

Saved in:
Bibliographic Details
Published in:Medicine (Baltimore) 2018-06, Vol.97 (25), p.e11092-e11092
Main Authors: Ha, Man Ho, Choi, Min-Gew, Sohn, Tae Sung, Bae, Jae Moon, Kim, Sung
Format: Article
Language:English
Subjects:
Female
Humans
Lymph Node Excision
Lymph Nodes - pathology
Lymphatic Metastasis
Male
Middle Aged
Observational Study
Pancreas
Stomach Neoplasms - mortality
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Survival Rate
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:There have been few studies on the prognostic significance of suprapancreatic lymph nodes (SPLNs), which are targeted in D2 dissections in patients with gastric cancer. The aim of this study was to investigate the prognostic significance of SPLNs by determining whether treatment outcomes of SPLN-positive gastric cancer are comparable to that of SPLN-negative cancer.This study enrolled patients with node-positive gastric cancer, who underwent curative surgery with D2 dissection, at the Samsung Medical Centre from 2007 to 2009. The survival outcomes of patients with and without metastatic SPLNs were analyzed.The total number of patients was 1086, with 377 patients (34.7%) having metastatic SPLNs. SPLN positivity was associated with a more advanced tumor status and the 5-year survival rate of the SPLN-positive group was significantly lower than that of the SPLN-negative group (59.5% vs 81.2%, P 
ISSN:0025-7974
1536-5964
DOI:10.1097/MD.0000000000011092