Abstract: ObjectiveTo explore the effect of clockwise modularized lymphadenectomy in minimally invasive surgery for gastric cancer.MethodsFrom March 2017 to January 2018, 16 cases of laparoscopicassisted small incision radical gastrectomy with D2 lymph node dissection in our hospital were selected as the experimental group, and 21 cases of laparoscopicassisted small incision radical gastrectomy from January 2016 to February 2017 were selected as the control group. A casecontrol study was conducted. Patients in the control group received conventional lymph node dissection during laparoscopic assisted small incision radical gastrectomy. On the basis of the above treatments, patients in the experimental group underwent clockwise modularized lymphadenectomy. Operative time, intraoperative blood loss and total number of lymph node dissection between the two groups were compared, and the incidence of complications in the two groups were compared as well.ResultsOperation time in the experimental group was (195.29±43.56) min, which was obviously shorter than the conventional group (224.34±46.83) min (P<0.05), and the blood loss in the experimental group was (108.42±57.89) ml, which was obviously less than (156.56±61.47) ml of the conventional group(P<0.05). There was no significant difference in the total number of lymph node dissection in the two groups (P>0.05). And the incidence of complications such as fistula, intestinal obstruction and pancreatitis was not statistically significant (P>0.05).ConclusionsThe clockwise modularized lymphadenectomy can reduce operation time of laparoscopicassisted small incision radical gastrectomy, reduce the amount of intraoperative bleeding with no influence on the postoperative effects. It is safe and feasible.
李升1，朱一宁2，王君2. 基层医院腹腔镜辅助小切口胃癌根治术中采用顺向式模块化淋巴结清扫的体会[J]. 中国现代手术学杂志, 2018, 22(3): 170-173.
LI Sheng1， ZHU Yining2， WANG Jun2. Effect of Clockwise Modularized Lymphadenectomy in Laparoscopicassisted Radical Gastrectomy with Small Incision. Chinese Journal of Modern Operative Surgery, 2018, 22(3): 170-173.
Zhou D, Quan Z, Wang J， et al. Laparoscopicassisted versus open distal gastrectomy with D2 lymph node resection for advanced gastric cancer: effect of learning curve on shortterm outcomes. a metaanalysis［J］. J Laparoendosc Adv Surg Tech A,2014,24 (3): 139150.
2018, Vol. 22 
