Clinical efficacy and safety analysis of different surgical approaches in No.12 lymph node dissection of distal gastric cancer

ObjectiveTo explore the clinical efficacy and safety of different surgical approaches in hepatoduodenal ligament lymph node(No.12 group) dissection of distal gastric cancer.

MethodsEighty-eight patients with distal gastric cancer were treated with radical gastrectomy of cancer, and randomly divided into three groups according to different surgical approaches, which included anterior approach group(30 cases), posterior approach group(26 cases) and right approach group(32 cases).The operation time of No.12 lymph node dissection, intraoperative blood loss, number of lymph nodes dissection, postoperative anal exhaust time, postoperative hospital stay and incidence rate of complications were analyzed among three groups.

ResultsThe differences of the age, gender and postoperative pathological staging, number of lymph nodes dissection, postoperative anal exhaust time and postoperative hospital stay were not statistically significant among three groups(P>0.05).The operation time of No.12 lymph node dissection and intraoperative blood loss in posterior approach group were less than those in other two groups(P < 0.05 to P < 0.01), and the incidence rates of total complications during and after operation in posterior approach group were lower than those in other two groups(P < 0.05).

ConclusionsNo.12 lymph node dissection of distal gastric cancer has short operation time, little bleeding volume and low incidence of complication, which is worthy of promotion in clinic.