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Fakhry, Hussein, Zahran, Asmaa, Rayan, Amal. (1401). Impact of the Number of Harvested Lymph Nodes on the Survival of Egyptian Patients with Gastric Cancer: Middle Eastern Tertiary Center Experience. سامانه مدیریت نشریات علمی, 13(3), 543-555. doi: 10.30476/mejc.2022.87873.1443
Hussein Fakhry; Asmaa M. Zahran; Amal Rayan. "Impact of the Number of Harvested Lymph Nodes on the Survival of Egyptian Patients with Gastric Cancer: Middle Eastern Tertiary Center Experience". سامانه مدیریت نشریات علمی, 13, 3, 1401, 543-555. doi: 10.30476/mejc.2022.87873.1443
Fakhry, Hussein, Zahran, Asmaa, Rayan, Amal. (1401). 'Impact of the Number of Harvested Lymph Nodes on the Survival of Egyptian Patients with Gastric Cancer: Middle Eastern Tertiary Center Experience', سامانه مدیریت نشریات علمی, 13(3), pp. 543-555. doi: 10.30476/mejc.2022.87873.1443
Fakhry, Hussein, Zahran, Asmaa, Rayan, Amal. Impact of the Number of Harvested Lymph Nodes on the Survival of Egyptian Patients with Gastric Cancer: Middle Eastern Tertiary Center Experience. سامانه مدیریت نشریات علمی, 1401; 13(3): 543-555. doi: 10.30476/mejc.2022.87873.1443

Impact of the Number of Harvested Lymph Nodes on the Survival of Egyptian Patients with Gastric Cancer: Middle Eastern Tertiary Center Experience

Middle East Journal of Cancer
مقاله 19، دوره 13، شماره 3 - شماره پیاپی 51، مهر 2022، صفحه 543-555    اصل مقاله (2.16 M)
نوع مقاله: Original Article(s)
شناسه دیجیتال (DOI): 10.30476/mejc.2022.87873.1443
نویسندگان
Hussein Fakhry1؛ Asmaa M. Zahran2؛ Amal Rayan* 3
1Surgical Oncology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
2Clinical Pathology Department, South Egypt Cancer Institute, Assiut University, Assiut, Egypt
3Clinical Oncology Department, Assiut University Hospital, Assiut University, Assiut, Egypt
چکیده
Background: In the present research, we aimed to estimate the effect of the number of resected lymph nodes (LN) on the survival outcomes of patients with resectable gastric cancer; we investigated whether 16 LNs remained the optimal threshold and whether a specific subset of patients could benefit from further LN dissected.
Method: This cohort study included consecutive patients who underwent surgical resection for gastric cancers from the start of 2012 to the end of 2014. Demographic, clinic-pathologic, laboratory data (including complete blood picture, renal function tests, liver function tests, C-reactive protein, Prothrombin profile, and electrolytes), type of surgery, systemic chemotherapy, treatment, and survival data were retrospectively collected from the patients' files.
Results: The mean overall survival ± standard error (SE) was 23.051 ± 2.249 months with 95% confidence interval (CI) = 18.644-27.459, while the mean disease-free survival ± SE was 20.675 ± 2.414 months with 95% CI = 15.944-25.906. D2 dissection was associated with significantly better OS and disease-free survival (P = 0.001 and P = 0.001, respectively). The mean OS for the patients with <16 lymph node dissected was 13.480 ± 1.468 with 95% CI = 10.603-16.357; whereas for those patients with <16 lymph nodes dissected, it was 20.738 ± 2.065 with 95% CI = 16.690-24.786 months, log-rank = 8.030 (P = 0.005).
Conclusion: The benefit of D2 lymphadenectomy, and subsequently dissecting more LNs, still remains under question; however, if morbidity and mortality are kept at a minimum level, D2 dissection could be advantageous. Our study concluded that harvesting further LNs was associated with more survival benefit.
کلیدواژه‌ها
Stomach neoplasms؛ Lymphadenectomy؛ Disease-free survival
اصل مقاله

The abstract was published previously in Annals of Oncology, Volume 31, Supplement 3, S127, July 01, 2020: https://doi.org/10.1016/j.annonc.2020.04.198

How to cite this article:

Fakhry H, Zahran AM, Rayan A. Impact of the number of harvested lymph nodes on the survival of Egyptian patients with gastric cancer: Middle eastern tertiary center experience. Middle East J Cancer. 2022;13(3):543-55. doi: 10.30476/mejc.2022.87873.1443.

 

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