title: [Clinical results of vagina vasorum lymph node dissection and non-vagina vasorum lymph node dissection in gastric cancer after radical operation].
abstract: OBJECTIVE
  To evaluate and compare the results of vagina vasorum lymph node dissection (VLND) and non-vagina vasorum lymph node dissection (NVLND) in patients with gastric cancer after radical operation.
  
  
  METHODS
  A total of 759 cases of evaluable patients with gastric cancer, operated from June 1994 to April 2005, were retrospectively analyzed. Of which, 627 cases underwent radical gastrectomy: 215 patients received VLND and 412 cases received NVLND. The operation time, intraoperative blood loss, operative complications and survival rate were recorded and compared between the two groups.
  
  
  RESULTS
  The 5- and 10-year overall accumulative survival rates of VLND group and NVLND group were 55.4% and 51.2%, 39.1%and 36.8%, respectively (all P < 0.05). No significant differences in intraoperative blood transfusion (loss), operation time, operative complication rate was found between the two groups. The 5- and 10-year accumulative survival in patients with a tumor of phase N0-N2, T2-T4, Ib-IV in VLND groups were all significant higher than those in NVLND group.
  
  
  CONCLUSIONS
  VLND is a safe technique in advanced gastric cancer, it dose not prolong operation time or increase operative complications but improves survival.
authors.affiliation: Department of Gastrointestinal Surgery, the First Affiliated Hospital of Sun Yat-Sen University, Guangzhou 510080, China.
authors.forename: Fang-Hai
authors.initials: FH
authors.lastname: Han
authors.forename: Wen-Hua
authors.initials: WH
authors.lastname: Zhan
authors.forename: Yu-Long
authors.initials: YL
authors.lastname: He
authors.forename: Yi-Hua
authors.initials: YH
authors.lastname: Huang
authors.forename: Zheng-Xuan
authors.initials: ZX
authors.lastname: Chen
authors.forename: Wen-Guang
authors.initials: WG
authors.lastname: Dong
authors.forename: Han-Ping
authors.initials: HP
authors.lastname: Shi
authors.forename: Shi-Rong
authors.initials: SR
authors.lastname: Cai
authors.forename: Hong-Ming
authors.initials: HM
authors.lastname: Li
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome; D055815:Young Adult