ISSN: 2149-2247 | E-ISSN: 2149-2549

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Erciyes Medical Journal The Effect of Lymph Node Dissection on Gallstone Formation in Patients Undergoing Total Gastrectomy for Gastric Adenocarcinoma [Erciyes Med J]
Erciyes Med J. 2019; 41(3): 265-268 | DOI: 10.14744/etd.2019.36024

The Effect of Lymph Node Dissection on Gallstone Formation in Patients Undergoing Total Gastrectomy for Gastric Adenocarcinoma

Ismail Cem Eray, Uğur Topal, Erdem Kakil, Ahmet Gökhan Sarıtaş, Ahmet Rencuzogullari, Orçun Yalav, Kubilay Dalcı
Department of General Surgery, Çukurova University Faculty of Medicine, Adana, Turkey

Objective: Formation of gallbladder stone is frequently observed after resection for gastric cancer. Extended lymph dissection
is shown to be among risk factors.
Materials and Methods: We compared patients with limited lymphatic dissection (D1) and extended lymphatic dissection
(D2) in terms of gallstone formation and complications.
Results: We observed gallbladder stone formation in 13 (12.8%) patients. Gallbladder stone formation was observed in
11.1% of patients in the D1 group and in 14.3% of patients in the D2 group, but no statistically significant difference was
found between lymphatic dissections. Of 13 patients, 5 (38.4%) were symptomatic and 3 (23.1%) developed choledocholithiasis.
Five patients who were symptomatic were operated without any problems. The groups did not show a statistically
significant difference in terms of cumulative survival times. While patients who underwent D2 dissection had more formed
gallbladder stone, there were no significant differences between the groups.
Conclusion: The complications related to gallbladder stone developed after gastrectomy can be safely managed.

Keywords: Gallstone, total gastrectomy.

Ismail Cem Eray, Uğur Topal, Erdem Kakil, Ahmet Gökhan Sarıtaş, Ahmet Rencuzogullari, Orçun Yalav, Kubilay Dalcı. The Effect of Lymph Node Dissection on Gallstone Formation in Patients Undergoing Total Gastrectomy for Gastric Adenocarcinoma. Erciyes Med J. 2019; 41(3): 265-268

Corresponding Author: Uğur Topal, Türkiye
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