title: Sentinel node navigation surgery attenuates the functional disorders             in early gastric cancer.
abstract: The purpose of this study was to evaluate the merits of the sentinel node             (SN)-navigated reduced gastrectomy (SNRG) procedure. The subjects (sT1N0) were             divided into the SNRG group (n=34) and the GL group, that consisted of patients             which underwent gastrectomy according to the Japanese Gastric Cancer Association             guidelines (n=33). We compared the area of the resected stomach and evaluated             their body weight changes, and the results of a questionnaire survey about postoperative             symptoms, and nutritional effects by blood tests administered at postoperative             months (POM) 3, 6 and 12. The median area of the resected stomach was 104 cm2             in the SNRG group vs. 192 cm2 in the GL group. The body weight loss ratio was             -5.9±5.8 vs. -9.3±4.1% at POM 3, and the henoglobin (g/dl) change rate was -1.1±7.9             vs. -6.4±6.5% at POM 12 in the SNRG and GL groups, respectively. There were no             significant differences regarding the passage of food, reflux, the incidence of             dumping syndrome, digestive and excretory function, or general condition and the             satisfaction levels of the patients. In conclusion, SNRG has some advantages over             GL in terms of postoperative disorders for at least one year after surgery, and             is the recommended choice of a surgical procedure for early gastric cancer.
authors: Department of Surgery, National Defense Medical College, 3-2 Namiki, Tokorozawa, Saitama 359-8513, Japan.
authors: Yoshihisa
authors: Y
authors: Yaguchi
authors: Hironori
authors: H
authors: Tsujimoto
authors: Isao
authors: I
authors: Kumano
authors: Risa
authors: R
authors: Takahata
authors: Yusuke
authors: Y
authors: Matsumoto
authors: Kazumichi
authors: K
authors: Yoshida
authors: Hiroyuki
authors: H
authors: Horiguchi
authors: Satoshi
authors: S
authors: Ono
authors: Takashi
authors: T
authors: Ichikura
authors: Junji
authors: J
authors: Yamamoto
authors: Kazuo
authors: K
authors: Hase
mesh_terms: D001835:Body Weight / Q000502:physiology; D004377:Dumping Syndrome / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008197:Lymph Node Excision; D008198:Lymph Nodes / Q000503:physiopathology* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011184:Postoperative Period; D012189:Retrospective Studies; D021701:Sentinel Lymph Node Biopsy / Q000379:methods*; D013274:Stomach Neoplasms / Q000503:physiopathology* / Q000601:surgery*; D011795:Surveys and Questionnaires; D016896:Treatment Outcome