Sentinel Lymph Node Navigation Surgery for Early Gastric Cancer: Is It a Safe Procedure in Countries with Non- Endemic Gastric Cancer Levels? A Preliminary Experience

Guilherme Pinto Bravo Neto; Elizabeth Gomes Dos Santos; Felipe Carvalho Victer; Marcelo Soares Neves; Carlos Eduardo De Souza Carvalho; Marcia Ferreira Pinto

doi:http://dx.doi.org/10.5230/jgc.2016.16.1.14

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자료유형: 학술저널

저자정보: Guilherme Pinto Bravo Neto (Federal University of Rio de Janeiro) Elizabeth Gomes Dos Santos (General Surgery Service of the Clementino Fraga Filho University Hospital (HUCFF-UFRJ)) Felipe Carvalho Victer (General Surgery Service of the Clementino Fraga Filho University Hospital (HUCFF-UFRJ)) Marcelo Soares Neves (HUCFF-UFRJ) Carlos Eduardo De Souza Carvalho (HUCFF-UFRJ) Marcia Ferreira Pinto (Gastroenterology Service of the Clementino Fraga Filho University Hospital)

저널정보: 대한위암학회 Journal of Gastric Cancer Journal of Gastric Cancer 제16권 제1호

발행연도: 2016.3

수록면: 14 - 20 (7page)

DOI: http://dx.doi.org/10.5230/jgc.2016.16.1.14

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Purpose: Early diagnosis of gastric cancer is still the exception in Western countries. In the East, as in Japan and Korea, this disease is an endemic disorder. More conservative surgical procedures are frequently performed in early gastric cancer cases in these countries where sentinel lymph node navigation surgery is becoming a safe option for some patients. This study aims to evaluate preliminary outcomes of patients with early gastric cancer who underwent sentinel node navigation surgeries in Brazil, a country with non-endemic gastric cancer levels. Materials and Methods: From September 2008 to March 2014, 14 out of 205 gastric cancer patients underwent sentinel lymph node navigation surgeries, which were performed using intraoperative, endoscopic, and peritumoral injection of patent blue dye. Results: Antrectomies with Billroth I gastroduodenostomies were performed in seven patients with distal tumors. The other seven patients underwent wedge resections. Sentinel basin resections were performed in four patients, and lymphadenectomies were extended to stations 7, 8, and 9 in the other 10. Two patients received false-negative results from sentinel node biopsies, and one of those patients had micrometastasis. There was one postoperative death from liver failure in a cirrhotic patient. Another cirrhotic patient died after two years without recurrence of gastric cancer, also from liver failure. All other patients were followed-up for 13 to 79 months with no evidence of recurrence. Conclusions: Sentinel lymph node navigation surgery appears to be a safe procedure in a country with non-endemic levels of gastric cancer.

#Sentinel lymph node biopsy #Stomach neoplasms #Gastrectomy #Lymphadenectomy #Neoplasm micrometastasis

참고문헌 (30)

참고문헌 신청

Japanese Gastric Cancer Association / 2011 / Japanese gastric cancer treatment guidelines 2010 (ver. 3) / Gastric Cancer 14:113~123

Jeong O / 2009 / Accuracy of surgical diagnosis in detecting early gastric cancer and lymph node metastasis and its role in determining limited surgery / J Am Coll Surg 209:302~307

Ichikura T / 2009 / Limited gastrectomy with dissection of sentinel node stations for early gastric cancer with negative sentinel node biopsy / Ann Surg 249:942~947

Kelder W / 2010 / Sentinel node mapping with indocyanine green(ICG)and infrared ray detection in early gastric cancer : an accurate method that enables a limited lymphadenectomy / Eur J Surg Oncol 36:552~558

Abe N / 2011 / Long-term outcomes of combination of endoscopic submucosal dissection and laparoscopic lymph node dissection without gastrectomy for early gastric cancer patients who have a potential risk of lymph node metastasis / Gastrointest Endosc 74:792~797

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