Mu GC, Huang Y, Liu ZM, Chen ZB, Wu XH, Qin XG, Zeng YJ. Relationship between celiac artery variation and number of lymph nodes dissection in gastric cancer surgery. World J Gastrointest Oncol 2019; 11(6): 499-508 [PMID: 31236200 DOI: 10.4251/wjgo.v11.i6.499]
Corresponding Author of This Article
Yuan Huang, MD, Professor, Surgeon, Department of Gastrointestinal Surgery, the First Affiliated Hospital of Guangxi Medical University, No. 6 Shuangyong Street, Nanning 530021, Guangxi Zhuang Autonomous Region, China. huangyuan_09@163.com
Research Domain of This Article
Oncology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Oncol. Jun 15, 2019; 11(6): 499-508 Published online Jun 15, 2019. doi: 10.4251/wjgo.v11.i6.499
Table 1 Comparison of clinical data between two groups of patients with celiac artery variation and without vascular variation
Clinicopathological features
Abnormal vessel group, n = 110
Normal vessel group, n = 311
χ2
P value
Gender
male
74
232
2.196
0.138
female
36
79
Agein yr
≤45
23
54
0.881
0.644
46-60
46
143
>60
41
114
Tumor stage
I
24
66
2.848
0.241
II
22
87
III
64
158
Tumor location
Proximal stomach
13
38
0.977
0.802
Gastric body
14
45
Gastric antrum
73
208
Whole stomach
10
20
Pathology classification
Adenocarcinoma
99
270
2.489
0.477
Mucous carcinoma
5
10
Signet ring cell carcinoma
2
13
Undifferentiated carcinoma
4
18
Borrmann classification
I
8
11
3.830
0.280
II
31
75
III
53
164
IV
18
61
Adjuvant chemotherapy
Yes
79
217
0.163
0.687
No
31
94
Complication
Yes
18
29
4.059
0.044
No
92
282
Lymph node clearance
20.391 ± 0.693
23.707 ± 0.587
3.651
0.000
Lymph node clearance in different stages
I
13.917 ± 0.558
20.470 ± 1.010
3.822
0.000
II
17.863 ± 0.728
23.402 ± 1.095
4.231
0.000
III
23.688 ± 0.932
25.228 ± 0.871
1.207
0.229
Table 2 The relationship between the number of lymph nodes dissection and the clinicopathological features of radical D2 lymphadenectomy for gastric cancer
Influence factors
n
mean ± S
SS
MS
t or F value
P value
Gender
Male
306
22.869 ± 0.573
-
-
0.097
0.922
Female
115
22.765 ± 0.839
Agein yr
≤ 45
77
23.091 ± 1.313
15.536
7.768
0.081
0.922
46-60
189
22.937 ± 0.625
> 60
155
22.600 ± 0.817
Variation of celiac artery
Yes
110
20.391 ± 0.693
-
-
3.651
0.000
No
311
23.707 ± 0.587
Tumor stage
I
90
18.722 ± 0.814
-
-
13.365
0.000
II
109
22.284 ± 0.910
III
222
24.784 ± 0.676
Tumor location
Proximal stomach
51
21.588 ± 1.273
510.539
170.180
1.801
0.146
Gastric body
59
21.509 ± 1.199
Gastric antrum
281
23.000 ± 0.576
Whole stomach
30
26.100 ± 2.207
Pathology classification
Adenocarcinoma
369
22.846 ± 0.511
54.376
18.125
0.190
0.903
Mucous carcinoma
15
24.333 ± 2.656
Signet ring cell carcinoma
15
21.733 ± 1.963
Undifferentiated carcinoma
22
22.500 ± 2.123
Borrmann classification
I
19
17.053 ± 1.733
2492.710
830.903
9.261
0.000
II
105
20.171 ± 0.842
III
218
23.303 ± 0.655
IV
79
26.506 ± 1.165
Table 3 The results of univariate Cox regression analysis in gastric cancer
Clinicopathological features
B
SE
Wald
OR (95%CI)
P value
Age
0.204
0.104
3.820
1.227(0.999-1.505)
0.051
Gender
0.104
0.159
0.429
1.110(0.812-1.517)
0.512
Tumor stage
1.004
0.124
65.481
2.728(2.140-3.479)
0.000
Tumor location
-0.265
0.088
8.958
0.767 (0.645-0.913)
0.003
Pathology classification
0.020
0.089
0.050
1.020 (0.857-1.214)
0.823
Borrmann classification
0.605
0.098
37.822
1.832 (1.511-2.222)
0.000
Celiac artery variation
0.038
0.163
0.055
1.039 (0.755-1.430)
0.815
Operation time
0.002
0.001
8.270
1.002 (1.001-1.003)
0.004
Intraoperative bleeding
0.001
0.000
21.216
1.001 (1.000-1.001)
0.000
No. of lymph nodes metastases
0.071
0.008
90.075
1.074 (1.058-1.090)
0.000
No. of lymph nodes
0.018
0.007
6.083
1.018 (1.004-1.032)
0.014
Positive lymph node ratio
2.491
0.242
106.057
12.072 (7.514-19.393)
0.000
Table 4 The results of multivariate Cox regression analysis
Variables
B
SE
Wald
OR (95%CI)
P value
Comprehensive staging
0.626
0.145
18.494
1.870 (1.406-2.486)
0.000
Intraoperative bleeding
0.001
0.000
10.575
1.001 (1.000-1.001)
0.001
Positive lymph node ratio
1.466
0.318
21.206
4.330 (2.320-8.079)
0.000
Citation: Mu GC, Huang Y, Liu ZM, Chen ZB, Wu XH, Qin XG, Zeng YJ. Relationship between celiac artery variation and number of lymph nodes dissection in gastric cancer surgery. World J Gastrointest Oncol 2019; 11(6): 499-508