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KMID : 1141820180180010030
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Journal of Gastric Cancer
2018 Volume.18 No. 1 p.30 ~ p.36
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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
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An Ji-Yeong
Min Jae-Seok
Lee Young-Joon
Jeong Sang-Ho
Hur Hoon
Han Sang-Uk
Hyung Woo-Jin
Cho Gyu-Seok
Jeong Gui-Ae
Jeong Oh
Park Young-Kyu
Jung Mi-Ran
Park Ji-Yeon
Kim Young-Woo
Yoon Hong-Man
Eom Bang-Wool
Ryu Keun-Won
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Abstract
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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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KEYWORD
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Stomach neoplasms, Sentinel lymph node biopsy, Postoperative complication
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