Abstract:
:To analyze the impact of perigastric lipolymphatic tissue grouping by the surgeon on the number of pathologic sampled lymph nodes and to explore the appropriate lymph node delivery process.The authors collected the medical records of gastric cancer patients who were hospitalized in Wuhan Union Hospital during the period January 2016 to January 2018. The authors selected 126 patients and divided them into experimental group and control group, 63 cases in each group. Samples of standard complete gastrectomy or distal gastrectomy +D2 lymph node dissection was performed. In experimental group, the fresh en bloc specimen was treated by the surgeon before the formalin fixation. The perigastric lipolymphatic tissue was divided into the lymph node grouping according to JSGC guideline III. Then the stomach and each group of lipolymphatic tissue were fixed and then transferred to the pathologic department, then the lymph nodes were harvested by the pathological technician. In control group, the whole en bloc specimen was fixed with formalin and then lymph nodes were detected by palpation and thin slice inspection, and then harvested by the pathological technician. The lymph node acquisition was compared in 2 groups.The total number of lymph nodes in experimental group is 2611, the number of negative lymph nodes is 2273; the total number of lymph nodes in control group is 1643, the number of negative lymph nodes is 1351; the comparison difference in 2 groups was statistical sense (P < .01); patients with lymph node which reach 25 pieces/person of experimental group could reach a ratio of 90.1%, and that is 47.6% in the control group, the comparison difference in 2 groups was statistical sense (P < .01), the number of positive lymph nodes did not increase significantly compared with the control group, and there was no statistical significance in the 2 groups.Dissecting the perigastric lipolymphatic tissue into lymph node groups by the surgeon might improve the total number of lymph node harvested by the pathological technician, and increase the rate of cases with >25 lymph nodes. Our results also implicated that, when the routing harvested lymph nodes were more than 20, the increasing number by perigastric lipolymphatic tissue grouping might result from more negative lymph nodes detected and might not result in stage migrating.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Cao Y,Xiong L,Deng S,Shen L,Li J,Wu K,Wang J,Tao K,Wang G,Cai Kdoi
10.1097/MD.0000000000011411subject
Has Abstractpub_date
2018-07-01 00:00:00pages
e11411issue
27eissn
0025-7974issn
1536-5964pii
00005792-201807060-00067journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:The local injection of multimodal cocktail is currently commonly used in the treatment of postoperative pain after total knee arthroplasty (TKA). It is still inconclusive whether the morphine added to the intraoperative injection mixture could make some difference. This meta-analysis aimed to evaluate the ef...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000017503
更新日期:2019-10-01 00:00:00
abstract:BACKGROUND:Because of aging of population, osteoporotic vertebral compression fracture (OVCF) appears an increasing incidence rate. Conservative therapy (CT) and balloon kyphoplasty (BKP) have been used to treat OVCFs. However, an increase in new vertebral compression fractures at nontreated levels following BKP is of ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000012666
更新日期:2018-10-01 00:00:00
abstract::We aimed to obtain overall and regional estimates of hypertension prevalence, and to examine the pattern of this disease condition across different socio-demographic characteristics in low-and middle-income countries. We searched electronic databases from inception to August 2015. We included population-based studies ...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000001959
更新日期:2015-12-01 00:00:00
abstract::The surgical treatment of congenital scoliosis under 10 years is difficult as it involves resecting vertebrae. Moreover, patient follow-up after surgery is extremely important because the patient is a child whose growth has not been completed. However, there are very few long-term follow-up studies after surgical trea...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021720
更新日期:2020-08-07 00:00:00
abstract:INTRODUCTION:Substantial advances in cardiac pacing technology have been developed in the past decades. However, efforts to improve pacing technology to achieve physiological electrical activity, such as with cardiac resynchronization therapy, are underway. Permanent His bundle pacing, which directly stimulates the His...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021097
更新日期:2020-08-14 00:00:00
abstract:OBJECTIVES:The primary objective of this study was to investigate whether dexmedetomidine could potentiate the analgesic efficacy of ropivacaine, when added to ropivacaine for wound infiltration in patients undergoing open gastrectomy. METHODS:Fifty patients scheduled for open gastrectomy were divided into 2 equal gro...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000007950
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:The blood-brain barrier is impaired in patients with stroke. The release of protein markers such as Sirtuin1 (SIRTl) into circulation may be useful to assess the prognosis of patients with cerebrovascular disease. In this study, we investigated the predictive value of SIRT1 levels in acute ischemic stroke (A...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000012959
更新日期:2018-12-01 00:00:00
abstract:RATIONALE:Ossifying fibroma is benign fibro-osseous neoplasm. The authors report a case of ossifying fibroma in the mandibular angle suspected as metastasis of clear cell renal cell carcinoma. PATIENT CONCERNS:A 74-year-old man presented to the primary hospital complaining of frequent urination. A tumor in the left ki...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016595
更新日期:2019-08-01 00:00:00
abstract::This study aimed to detail the clinical outcomes of patients suffering from celiac arterial aneurysm (CAA) that underwent treatment via stent occlusion.This is a single-center, retrospective study. A total of 8 consecutive CAA patients were treated via stent occlusion from March 2014 to September 2018 at our hospital....
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023448
更新日期:2020-11-25 00:00:00
abstract:BACKGROUND:Shared decision making (SDM) is a process within the physician-patient relationship applicable to any clinical action, whether diagnostic, therapeutic, or preventive in nature. It has been defined as a process of mutual respect and participation between the doctor and the patient. The aim of this study is to...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000021389
更新日期:2020-08-07 00:00:00
abstract::Early risk stratification is crucial for appropriate management using invasive strategies in non-ST elevation myocardial infarction (NSTEMI), and electrocardiography (ECG) has been widely used for risk stratification. However, ECG findings in NSTEMI vary, and there is a need to define the clinical characteristics and ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000004862
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:To compare superb microvascular imaging with power Doppler imaging for evaluating joint lesion scores in rheumatoid arthritis based on high quality clinical cohort or case control studies. METHODS:We searched Medline (via PubMed), Web of Science, Cochrane Library, Embase, and Chinese Biomedical Literature D...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000022185
更新日期:2020-09-11 00:00:00
abstract:RATIONALE:Hereditary neuropathy with liability to pressure palsy (HNPP) is an episodic, multifocal neuropathy, with a typical clinical presentation of recurrent transient pressure palsies, which is induced by a PMP22 deletion. Another neuropathy caused by a PMP22 duplication is Charcot-Marie-Tooth disease type 1A (CMT1...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006922
更新日期:2017-05-01 00:00:00
abstract::Multiple primary malignancies (MPMs) are defined as 2 or more malignancies without subordinate relationship detected in different organs of an individual patient. Reports addressing MPM patients with hepatocellular carcinoma (HCC) are rare. We perform a 26-year follow-up study to investigate characteristics and progno...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003491
更新日期:2016-04-01 00:00:00
abstract:INTRODUCTION:Rudimentary horns and unicornuate uteri, 2 types of Mullerian duct abnormalities, often lack obvious symptoms. Ultrasonography (US) and magnetic resonance imaging (MRI) are alternative examinations but have low accuracy. Full-term rudimentary horn pregnancies are rather rare but life-threatening. PATIENT ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000021604
更新日期:2020-08-21 00:00:00
abstract:RATIONALE:Ecthyma gangrenosum (Eg) is a necrotic lesion that is mostly seen in immunocompromised patients. It reflects a severe sepsis, possibly caused by Pseudomonas aeruginosa (Pa). PATIENT CONCERNS:A healthy 3-year-old girl admitted to the Pediatric Emergency Department presented a sepsis-associated purpura with ne...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005507
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:CyclinD1 (CCND1) is a key cell cycle regulatory protein. A large number of epidemiological studies have assessed the potential correlation between the CCND1 G870A polymorphism and the risk of colorectal cancer (CRC), but their findings have been inconsistent. To obtain a more precise understanding of the ass...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000008269
更新日期:2017-10-01 00:00:00
abstract::A few decades ago, antibiotic prophylaxis for patients with acute variceal bleeding was reported beneficial. However, endoscopic and systemic therapy for variceal bleeding has dramatically improved since then, so the necessity of prophylactic antibiotics can be questioned. In this study, we reevaluated the efficacy of...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019981
更新日期:2020-05-01 00:00:00
abstract::Aberrant glycosylated IgA1 molecules, mainly galactose-deficient IgA1 (Gd-IgA1), are important causal factors in IgA nephropathy; however, the underlying mechanism for the production of aberrantly glycosylated IgA1 is unknown. A recent genome-wide association study identified a novel IgAN susceptibility gene, TNFSF13,...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000003099
更新日期:2016-03-01 00:00:00
abstract:RATIONALE:The treatment of osteogenesis imperfecta (OI) requires a multidisciplinary approach to maximize function and reduce fracture incidence. The aim of this case report was to discuss an alternative surgical approach to stabilize a corrective osteotomy using the Fassier Duval (FD) system in an OI patient. PATIENT...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008459
更新日期:2017-11-01 00:00:00
abstract:RATIONALE:Intramuscular hemangiomas are rare benign vascular neoplasms, merely accounting for 0.8% of all hemangiomas. Moreover, there are few case reports of intramuscular hemangiomas in the upper extremities. PATIENT CONCERNS:A 24-year-old male patient presented with a 5-year history of intermittent pain of the righ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000014343
更新日期:2019-02-01 00:00:00
abstract::Idiopathic pulmonary fibrosis is a chronic and irreversible respiratory disease with a high incidence worldwide and no specific treatment. Currently, the etiology and pathogenesis of this disease remain largely unknown. In main purpose of this study, bioinformatics analysis was used to uncover key genes and pathways r...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022099
更新日期:2020-09-04 00:00:00
abstract::Controversy remains over whether random cervical biopsies and endocervical curettage (ECC) should be used in women with positive screening but negative colposcopy. Our paper aims to determine the indications for random biopsies and ECC among these screened positive women.Three thousand two hundred thirteen women with ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006689
更新日期:2017-04-01 00:00:00
abstract:BACKGROUND:Patients with cancer are of a high level risk of venous thromboembolism (VTE). Low molecular weight heparin (LMWH) is recommended as the normal treatment for cancer-associated venous thrombosis. Recently, some studies suggest that patients with cancer-associated venous thrombosis can get a good efficacy and ...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000019000
更新日期:2020-01-01 00:00:00
abstract::The global incidence of pyogenic liver abscess (PLA) is increasing, but related reports of malignant tumor-related PLA are infrequent. Potential malignant tumors of PLA have been reported, but there is no relevant predictive model for this subsection of patients.To explore the risk factors of malignant tumor-related P...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000019282
更新日期:2020-02-01 00:00:00
abstract:RATIONALE:Retroperitoneal necrotizing soft tissue infection (NSTI) is a rare but life-threatening disease. Here, we present a case of extended retroperitoneal NSTI caused by extended-spectrum beta-lactamase (ESBL)-producing Escherichia coli (E coli). PATIENT CONCERNS:The patient complained of progressive redness, swel...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000005576
更新日期:2016-12-01 00:00:00
abstract::To date, because of their rarity, the clinicopathological features and surgical outcomes of small bowel adenocarcinomas (SBAs) have been insufficiently explored. We evaluated the clinicopathological features and long-term outcomes of patients who underwent surgery for SBA.This retrospective study (from 1999 to 2016) e...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007713
更新日期:2017-08-01 00:00:00
abstract::Endotracheal tube (ETT) positioning using the cuff ballottement test, which confirms that the inflated cuff is positioned at the suprasternal notch with squeezing or inflating a pilot balloon, has been reported to be a simple and reliable method of preventing endobronchial intubation. However, in patients with a short...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006155
更新日期:2017-02-01 00:00:00
abstract::Recent studies have investigated the most efficacious dose of intravenous tissue plasminogen activator (IV-tPA) for acute ischemic stroke (AIS) patients. There remains no definitive consensus concerning the superior efficacious IV-tPA dose (standard- vs. low-dose), prompting us to perform a meta-analysis comparing the...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000002412
更新日期:2015-12-01 00:00:00
abstract:OBJECTIVE:DNA methylation is the earliest and most studied epigenetic modification in cancer. The literature reported that the abnormal methylation level of multiple genes was associated with poor prognosis in ovarian cancer. However, due to a small sample size, the results reported in the literature vary widely. In th...
journal_title:Medicine
pub_type: 杂志文章,meta分析,评审
doi:10.1097/MD.0000000000014588
更新日期:2019-02-01 00:00:00