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Fluorescent lymphography during minimally invasive total gastrectomy for gastric cancer: an effective technique for splenic hilar lymph node dissection

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dc.contributor.author김유민-
dc.contributor.author김형일-
dc.contributor.author송정호-
dc.contributor.author이세진-
dc.contributor.author조민아-
dc.contributor.author최서희-
dc.contributor.author형우진-
dc.date.accessioned2022-05-09T17:15:31Z-
dc.date.available2022-05-09T17:15:31Z-
dc.date.issued2022-05-
dc.identifier.issn0930-2794-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/188471-
dc.description.abstractBackground: Fluorescent lymphography is an excellent technique for complete lymph node dissection during minimally invasive surgery for gastric cancer. This study aimed to evaluate the role of fluorescent lymphography in splenic hilar lymph node dissection during minimally invasive total gastrectomy. Methods: We retrospectively analyzed 168 gastric cancer patients who underwent minimally invasive total gastrectomy with D2 + No. 10 lymph node dissection from 2013 to 2018. Fluorescent lymphography was used whenever it is possible. However, when near-infrared imaging system and endoscopic indocyanine green injection were not available, we performed surgery without fluorescent lymphography. A total of 74 patients underwent surgery with fluorescent lymphography (FL group) and 94 underwent surgery without it (non-FL group). Perioperative and long-term outcomes including the number of retrieved lymph nodes at each nodal station were compared between groups. Results: The median number of retrieved lymph nodes at the splenic hilum was larger in the FL group {2.5 [Interquartile range (IQR), 1-5]} than in the non-FL group [1 (IQR, 1-3); P = 0.012]. The negative predictive value of fluorescent lymphography for lymph node metastasis at the splenic hilum was 97.1%, although the sensitivity was 66.7%. The overall survival (FL: 96.9% vs. non-FL: 88.9%; P = 0.334) and relapse-free survival (FL: 90.5% vs. non-FL: 65.5%; P = 0.054) were higher in the FL group, although there were no statistical differences. However, among the patients without lymph node metastasis, the relapse-free survival was significantly higher in the FL group (100%) than in the non-FL group (67.1%; P = 0.017). Conclusions: Fluorescent lymphography is an effective tool for complete lymph node dissection at the splenic hilum. Moreover, it may help select patients who do not need splenic hilar lymph node dissection during a total gastrectomy.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHColoring Agents-
dc.subject.MESHGastrectomy / methods-
dc.subject.MESHHumans-
dc.subject.MESHLymph Node Excision / methods-
dc.subject.MESHLymph Nodes / diagnostic imaging-
dc.subject.MESHLymph Nodes / pathology-
dc.subject.MESHLymph Nodes / surgery-
dc.subject.MESHLymphatic Metastasis / pathology-
dc.subject.MESHLymphography / methods-
dc.subject.MESHNeoplasm Recurrence, Local / surgery-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStomach Neoplasms* / diagnostic imaging-
dc.subject.MESHStomach Neoplasms* / pathology-
dc.subject.MESHStomach Neoplasms* / surgery-
dc.titleFluorescent lymphography during minimally invasive total gastrectomy for gastric cancer: an effective technique for splenic hilar lymph node dissection-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Surgery (외과학교실)-
dc.contributor.googleauthorSejin Lee-
dc.contributor.googleauthorJeong Ho Song-
dc.contributor.googleauthorSeohee Choi-
dc.contributor.googleauthorMinah Cho-
dc.contributor.googleauthorYoo Min Kim-
dc.contributor.googleauthorHyoung-Il Kim-
dc.contributor.googleauthorWoo Jin Hyung-
dc.identifier.doi10.1007/s00464-021-08584-x-
dc.contributor.localIdA00782-
dc.contributor.localIdA01154-
dc.contributor.localIdA04763-
dc.contributor.localIdA05933-
dc.contributor.localIdA05418-
dc.contributor.localIdA05052-
dc.contributor.localIdA04382-
dc.relation.journalcodeJ02703-
dc.identifier.eissn1432-2218-
dc.identifier.pmid34109482-
dc.identifier.urlhttps://link.springer.com/article/10.1007/s00464-021-08584-x-
dc.subject.keywordFluorescent lymphography-
dc.subject.keywordMinimally invasive gastrectomy-
dc.subject.keywordSplenic hilar lymph node-
dc.contributor.alternativeNameKim, Yoo Min-
dc.contributor.affiliatedAuthor김유민-
dc.contributor.affiliatedAuthor김형일-
dc.contributor.affiliatedAuthor송정호-
dc.contributor.affiliatedAuthor이세진-
dc.contributor.affiliatedAuthor조민아-
dc.contributor.affiliatedAuthor최서희-
dc.contributor.affiliatedAuthor형우진-
dc.citation.volume36-
dc.citation.number5-
dc.citation.startPage2914-
dc.citation.endPage2924-
dc.identifier.bibliographicCitationSURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES, Vol.36(5) : 2914-2924, 2022-05-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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