J Gastric Cancer.  2018 Mar;18(1):30-36. 10.5230/jgc.2018.18.e6.

Safety of Laparoscopic Sentinel Basin Dissection in Patients with Gastric Cancer: an Analysis from the SENORITA Prospective Multicenter Quality Control Trial

Affiliations
  • 1Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 2Department of Surgery, Dongnam Institute of Radiological and Medical Sciences, Cancer Center, Busan, Korea. mdoogy@naver.com
  • 3Department of Surgery, Gyeongsang National University, Jinju, Korea.
  • 4Department of Surgery, Gyeongsang National University Changwon Hospital, Gyeongsang National University, Changwon, Korea.
  • 5Department of Surgery, Ajou University School of Medicine, Suwon, Korea.
  • 6Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
  • 7Department of Surgery, Soonchunhyang University College of Medicine, Bucheon, Korea.
  • 8Department of Surgery, Chonnam National University Hwasun Hospital, Hwasun, Korea.
  • 9Gastric Cancer Center, Kyungpook National University Medical Center, Daegu, Korea.
  • 10Center of Gastric Cancer, National Cancer Center, Goyang, Korea.

Abstract

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.

Keyword

Stomach neoplasms; Sentinel lymph node biopsy; Postoperative complication

MeSH Terms

Classification
Drainage
Humans
Lymph Nodes
Mortality
Postoperative Complications
Postoperative Period
Prospective Studies*
Quality Control*
Sentinel Lymph Node Biopsy
Stomach Neoplasms*
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