Morbidity of radical lymphadenectomy in the curative resection of gastric carcinoma Journal Article


Authors: Smith, J. W.; Shiu, M. H.; Kelsey, L.; Brennan, M. F.
Article Title: Morbidity of radical lymphadenectomy in the curative resection of gastric carcinoma
Abstract: Recent studies suggest an improved survival in patients who undergo radical lymph node dissection for the curative treatment of gastric carcinoma. We have undertaken a retrospective review to compare morbidity and mortality between patients who underwent radical lymph node dissection and those who underwent resections of lesser scope. Of the surgically related events compared, only the amount of postoperative abdominal drainage was significantly different in the group that underwent radical lymph node dissection Forty-four percent of patients who underwent radical lymph node dissection and 35% of patients who underwent a procedure of lesser scope developed a major complication. There was also no significant difference in the postoperative death rate, with a total of two 30-day in-hospital deaths (1.1%). Our observations indicate that radical lymph node dissection can be performed as safely as lesser operations for gastric carcinoma, and should not be avoided because of the fear of complications. © 1991, American Medical Association. All rights reserved.
Keywords: adult; aged; retrospective studies; major clinical study; postoperative period; conference paper; lymph node excision; lymphadenectomy; postoperative complications; abdomen; gastrectomy; stomach cancer; stomach neoplasms; drainage; human; male; female; priority journal
Journal Title: Archives of Surgery
Volume: 126
Issue: 12
ISSN: 0004-0010
Publisher: American Medical Association  
Date Published: 1991-12-01
Start Page: 1469
End Page: 1473
Language: English
DOI: 10.1001/archsurg.1991.01410360039007
PUBMED: 1842175
PROVIDER: scopus
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Murray F Brennan
    1059 Brennan
  2. Man-Hei Shiu
    44 Shiu