caa a22 4500 475753585 CHVBK 20180406123531.0 cr unu---uuuuu 170329e20000801xx s 000 0 eng 10.1007/s005950070080 doi (NATIONALLICENCE)springer-10.1007/s005950070080 D3 lymph node dissection in gastric cancer: Evaluation of postoperative mortality and complications [Elektronische Daten] [Klaus Günther, Thomas Horbach, Susanne Merkel, Martin Meyer, Ute Schnell, Peter Klein, Werner Hohenberger] Since November 1995 we have been performing a D3 lymph node dissection in patients undergoing an operation for gastric cancer with a curative intent. The aim of the present study was to evaluate whether this procedure results in an increased postoperative mortality or complication rate in a Western population. Between November 1995 and August 1997 the postoperative courses of 76 patients were retrospectively assessed (45.3 lymph nodes per patient, lymph node ratio: 0.16). The patient outcome was compared with data from a historic control group of patients (n=383) in whom the newly established D2 dissection was studied in our department. Regarding the demographic, clinical, and tumor-pathologic data, and the choice of resection and reconstructive procedures, the two groups differed only slightly. The postoperative mortality of 1% was lower (vs 6.8%) while the overall complication rate of 34% (vs 32.1%) was identical. In particular, no anastomotic leakage (vs 9.4%) and fewer nonsurgical complications (17.1%vs 27.9%) occurred. The reoperation rate was 1%vs 9.7%. However, in 6% of the patients drainage tubes had to be inserted under computed tomographic guidance. The average hospital stay remained unchanged (21.9vs 20.7 days). A D3 dissection was shown to be feasible while demonstrating no disadvantages in the patients when compared with the D2 procedure. Springer-Verlag, 2000 Gastric cancer nationallicence Lymph node dissection nationallicence Mortality nationallicence Complications nationallicence Günther Klaus Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut Horbach Thomas Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut Merkel Susanne Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut Meyer Martin Bavarian Epidemiologic Cancer Registry, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut Schnell Ute Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut Klein Peter Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut Hohenberger Werner Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut Surgery Today Springer-Verlag 30/8(2000-08-01), 700-705 0941-1291 30:8<700 2000 30 595 https://doi.org/10.1007/s005950070080 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s005950070080 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Günther Klaus Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Horbach Thomas Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Merkel Susanne Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Meyer Martin Bavarian Epidemiologic Cancer Registry, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Schnell Ute Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Klein Peter Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut NATIONALLICENCE 700 1- Hohenberger Werner Department of Surgery, University of Erlangen-Nuremberg, Chirurgische Universitätsklinik, Krankenhausstrasse 12, D-91054, Erlangen, Germany aut NATIONALLICENCE 773 0- Surgery Today Springer-Verlag 30/8(2000-08-01), 700-705 0941-1291 30:8<700 2000 30 595 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer