Title: Clinical study of sentinel lymph node and lymph node metastasis in gastric antral cancer
Abstract: Objective To explore the distribution of sentinel lymph node(SLN) and discuss the clinical applied value in early gastric antral cancer. Methods These patients were detected by sentinel lymph node biopsy (Methylene blue was injected around the primary tumor, then we eliminated all of the lymph nodes which were stained in 5 minutes), before gastrectomy and extended lymph node dissection. Results SLN were detectable in 29 of 30 patients with the successful rate being 99%, and all SLN were subpyloric lymph nodes (the sixth group lymph node). In the patients with gastric antral cancer SLN can clearly predict the metastasis status of lymph nodes, it provides reference data for lymph node dissection.Conclusion The patients with negative SLN and early gastric antral cancer should be performed gastrectomy with D1 or D1+ lymphadenectomy, so the patients can effect a radical cure of A level. It increases the veracity of clinical stage in patients of gastric antral cancer through detection of sentinel lymph nodes by Methylene blue staining, consequently avoids unnecessary standard operation, decreases the rate of operative complication.
Publication Year: 2007
Publication Date: 2007-01-01
Language: en
Type: article
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