Dissection of No. 13 lymph node in radical gastrectomy for gastric carcinoma.
OBJECTIVE
To evaluate the feasibility and safety of No. 13 lymphadenectomy in radical gastrectomy for gastric carcinoma.


METHODS
Medical records of the patients undergone No. 13 lymph node dissection during D2 gastrectomy for gastric carcinoma, were reviewed from March 2003 to May 2007.


RESULTS
One hundred and fifty-eight patients underwent No. 13 lymph node dissection for D2 gastric carcinoma, of them, 4 (2.53%) were found to have metastasis in No. 13 lymph node. Metastasis to No. 12 lymph node was detected in 6 patients and 4 of them had positive No. 13 lymph node. The operative morbidity except for wound infection was 15.19% (24/158), and hospital death rate was 1.27% (2/158). No obstructive jaundice caused by No 13 lymph node metastasis after No. 13 lymph node dissection in radical gastrectomy for gastric carcinoma was detected during the follow-up study to end of January 2007.


CONCLUSIONS
Dissection of No. 13 lymph node in D2 gastrectomy for gastric carcinoma is safe with a low morbidity and mortality rate. Further study is needed to explore its long-term effect.
Shen
Ding-Feng
DF
Department of General Surgery, Shanghai Xinhua Hospital, School of Medicine, Shanghai JiaoTong University, Shanghai 200092, China. sdf1665@yahoo.com.cn
Chen
Da-Wei
DW
Quan
Zhi-Wei
ZW
Dong
Ping
P
Wang
Xue-Feng
XF
Xu
Hai-Zhou
HZ
Zhao
Ming-Lin
ML
Chen
Lei
L
D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*