Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Oncology Letters
Join Editorial Board Propose a Special Issue
Print ISSN: 1792-1074 Online ISSN: 1792-1082
Journal Cover
February-2024 Volume 27 Issue 2

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
February-2024 Volume 27 Issue 2

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study

  • Authors:
    • Yu Guo
    • Xue Dong Zhang
    • Guang Tan Zhang
    • Xiao Fei Song
    • Yuan Yuan
    • Peng Zhang
    • Yu Cheng Song
  • View Affiliations / Copyright

    Affiliations: Department of Gastrointestinal Surgery, People's Hospital of Zhengzhou University, Zhengzhou, Henan 450003, P.R. China
    Copyright: © Guo et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 84
    |
    Published online on: January 5, 2024
       https://doi.org/10.3892/ol.2024.14218
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

D2 lymph node dissection is widely used in laparoscopic radical gastrectomy for gastric cancer, and its efficacy and safety are known for patients with obesity. Currently, D2+ lymph node dissection is also applied to certain patients with gastric cancer of later stages. Due to the high difficulty of D2+ surgery, it is more challenging to perform on patients with obesity. There is currently limited research on the efficacy and safety of D2+ surgery in obese patients with gastric cancer. The present study aimed to retrospectively analyze the clinical data of patients undergoing laparoscopic radical gastrectomy for gastric cancer admitted to a single gastroenterology department. Patients with a body mass index ≥25 kg/m² were included in the study. A total of 149 patients were selected as the research subjects and divided into two groups. The observation group comprised 74 patients who underwent D2+ lymph node dissection, while the control group comprised 75 patients who underwent standard D2 lymph node dissection. The surgical performance, postoperative recovery and postoperative complications of the two groups were compared. The results showed that the rates of conversion to open surgery in the D2+ and D2 groups were 5.4% (4/74) and 2.7% (2/75), respectively, and were not significantly different. The duration of surgery in the D2+ group (282.55±23.02 min) was significantly longer than that in the D2 group (271.45±20.05 min). The mean number of lymph node dissections in the D2+ group was 28.57±7.19, which was significantly higher than that in the D2 group (25.29±6.41). No statistically significant differences in intraoperative blood loss, time to first flatus, postoperative hospitalization days, total hospitalization expenses or postoperative complications was detected between the two groups. There were no deaths in either group within the 30‑day perioperative period. In addition, there was no significant difference in the 3‑year overall survival rate between the two groups, while the 5‑year overall survival rate of the D2+ group was significantly higher than that of the D2 group. For obese patients with gastric cancer, D2+ surgery may increase the duration of surgery and slightly increase intraoperative blood loss compared with standard D2 radical surgery, but does not increase the incidence of postoperative complications. Moreover, D2+ surgery increases the number of lymph node dissections and improves the 5‑year survival rate of patients. Therefore, it may be concluded that laparoscopic D2+ lymph node dissection is safe and feasible for obese patients with gastric cancer.
View Figures

Figure 1

Figure 2

Figure 3

View References

1 

World Health Organization, . Obesity and overweight. Available from:. http://www.who.int/news-room/fact-sheets/detail/obesity-and-overweightJune 9–2021

2 

Wang L, Zhou B, Zhao Z, Yang L, Zhang M, Jiang Y, Li Y, Zhou M, Wang L, Huang Z, et al: Body-mass index and obesity in urban and rural China: Findings from consecutive nationally representative surveys during 2004-18. Lancet. 398:53–63. 2021. View Article : Google Scholar : PubMed/NCBI

3 

Sung H, Siegel RL, Torre LA, Pearson-Stuttard J, Islami F, Fedewa SA, Goding Sauer A, Shuval K, Gapstur SM, Jacobs EJ, et al: Global patterns in excess body weight and the associated cancer burden. CA Cancer J Clin. 69:88–112. 2019. View Article : Google Scholar : PubMed/NCBI

4 

Chen WQ, Li H, Sun KX, Zheng RS, Zhang SW, Zeng HM, Zou XN, Gu XY and He J: Report of cancer incidence and mortality in China, 2014. Zhonghua Zhong Liu Za Zhi. 40:5–13. 2018.(In Chinese). PubMed/NCBI

5 

Lin GT, Chen QY, Zheng CH, Li P, Xie JW, Wang JB, Lin JX, Lu J, Cao LL, Lin M, et al: Lymph node noncompliance affects the long-term prognosis of patients with gastric cancer after laparoscopic total gastrectomy. J Gastrointest Surg. 24:540–550. 2020. View Article : Google Scholar : PubMed/NCBI

6 

Japanese Gastric Cancer Association, . Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer. 14:101–112. 2011. View Article : Google Scholar : PubMed/NCBI

7 

National Comprehensive Cancer Network, . NCCN clinical practice guidelines in oncology. Gastric cancer (version 2.2023). https://www.nccn.org/professionals/physician_gls/pdf/gastric.pdfAugust 29–2023

8 

Liang Y, Cui J, Cai Y, Liu L, Zhou J, Li Q, Wu J and He D: ‘D2 plus’ lymphadenectomy is associated with improved survival in distal gastric cancer with clinical serosa invasion: A propensity score analysis. Sci Rep. 9:191862019. View Article : Google Scholar : PubMed/NCBI

9 

Xue L, Chen XL, Zhang WH, Yang K, Chen XZ, Zhang B, Chen ZX, Chen JP, Zhou ZG and Hu JK: Risk factors and prognostic significance of retropancreatic lymph nodes in gastric adenocarcinoma. Gastroenterol Res Pract. 2015:3676792015. View Article : Google Scholar : PubMed/NCBI

10 

Amin MB, Edge SB, Greene FL, Byrd DR, Brookland RK, Washington MK, Gershenwald JE, Compton CC, Hess KR, Sullivan DC, et al: AJCC Cancer Staging Manual. 8th edition. Springer; New York, NY: 2017

11 

Guidelines Working Committee of Chinese Society of Clinical Oncology, . Chinese Society of Clinical Oncology (CSCO) Guidelines for Diagnosis and Treatment of Gastric Cancer (version 1.2023). People's Health Publishing House; Beijing: 2023

12 

Dindo D, Demartines N and Clavien PA: Classification of surgical complications: A new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 240:205–213. 2004. View Article : Google Scholar : PubMed/NCBI

13 

Borrmann R: Geschwülste des Magens und Duodenums. Verdauungsschlauch: Rachen und Tonsillen · Speiseröhre Magen und Darm · Bauchfell. Borchardt H, Borrmann R, Christeller E, Dietrich A, Fischer W, Von Gierke E, Hauser G, Kaiserling C, Koch M, Koch W, et al: Springer Berlin Heidelberg; Berlin, Heidelberg: pp. 812–1054. 1926, View Article : Google Scholar

14 

Choo V: WHO reassesses appropriate body-mass index for Asian populations. Lancet. 360:2352002. View Article : Google Scholar : PubMed/NCBI

15 

Yang P, Zhou Y, Chen B, Wan HW, Jia GQ, Bai HL and Wu XT: Overweight, obesity and gastric cancer risk: Results from a meta-analysis of cohort studies. Eur J Cancer. 45:2867–2873. 2009. View Article : Google Scholar : PubMed/NCBI

16 

Xiao J, Shen K, Liu K, Wang Y, Fan H, Cheng Q, Zhou X, Hu L, Wang G, Xu Z and Yang L: Obesity promotes lipid accumulation in lymph node metastasis of gastric cancer: A retrospective case-control study. Lipids Health Dis. 21:1232022. View Article : Google Scholar : PubMed/NCBI

17 

Kulig J, Sierzega M, Kolodziejczyk P, Dadan J, Drews M, Fraczek M, Jeziorski A, Krawczyk M, Starzynska T and Wallner G; Polish Gastric Cancer Study Group, : Implications of overweight in gastric cancer: A multicenter study in a Western patient population. Eur J Surg Oncol. 36:969–976. 2010. View Article : Google Scholar : PubMed/NCBI

18 

Son SY, Jung DH, Lee CM, Ahn SH, Ahn HS, Park DJ and Kim HH: Laparoscopic gastrectomy versus open gastrectomy for gastric cancer in patients with body mass index of 30 kg/m2 or more. Surg Endosc. 29:2126–2132. 2015. View Article : Google Scholar : PubMed/NCBI

19 

Sugimoto M, Kinoshita T, Shibasaki H, Kato Y, Gotohda N, Takahashi S and Konishi M: Short-term outcome of total laparoscopic distal gastrectomy for overweight and obese patients with gastric cancer. Surg Endosc. 27:4291–4296. 2013. View Article : Google Scholar : PubMed/NCBI

20 

Songun I, Putter H, Kranenbarg EM, Sasako M and van de Velde CJH: Surgical treatment of gastric cancer: 15-Year follow-up results of the randomised nationwide Dutch D1D2 trial. Lancet Oncol. 11:439–449. 2010. View Article : Google Scholar : PubMed/NCBI

21 

Hartgrink HH, van de Velde CJ, Putter H, Bonenkamp JJ, Klein Kranenbarg E, Songun I, Welvaart K, van Krieken JH, Meijer S, Plukker JT, et al: Extended lymph node dissection for gastric cancer: Who may benefit? Final results of the randomized Dutch gastric cancer group trial. J Clin Oncol. 22:2069–2077. 2004. View Article : Google Scholar : PubMed/NCBI

22 

Ozmen MM, Zulfikaroglu B, Kucuk NO, Ozalp N, Aras G, Koseoglu T and Koç M: Lymphoscintigraphy in detection of the regional lymph node involvement in gastric cancer. Ann R Coll Surg Engl. 88:632–638. 2006. View Article : Google Scholar : PubMed/NCBI

23 

Smith DD, Schwarz RR and Schwarz RE: Impact of total lymph node count on staging and survival after gastrectomy for gastric cancer: Data from a large US-population database. J Clin Oncol. 23:7114–7124. 2005. View Article : Google Scholar : PubMed/NCBI

24 

Gholami S, Janson L, Worhunsky DJ, Tran TB, Squires MH III, Jin LX, Spolverato G, Votanopoulos KI, Schmidt C, Weber SM, et al: Number of lymph nodes removed and survival after gastric cancer resection: An analysis from the US gastric cancer collaborative. J Am Coll Surg. 221:291–299. 2015. View Article : Google Scholar : PubMed/NCBI

25 

Liang YX, Liang H, Ding XW, Wang XN, Zhang L, Wu LL, Liu HG and Jiao XG: The prognostic influence of D2 lymphadenectomy with para-aortic lymph nodal dissection for gastric cancer in N3 stage. Zhonghua Wai Ke Za Zhi. 51:1071–1076. 2013.(In Chinese). PubMed/NCBI

26 

Ozmen MM, Zulfikaroglu B, Ozmen F, Moran M, Ozalp N and Seckin S: D2 vs D2 plus para-aortic lymph node dissection for advanced gastric cancer. Turk J Surg. 37:49–58. 2020. View Article : Google Scholar : PubMed/NCBI

27 

Sano T, Sasako M, Yamamoto S, Nashimoto A, Kurita A, Hiratsuka M, Tsujinaka T, Kinoshita T, Arai K, Yamamura Y and Okajima K: Gastric cancer surgery: Morbidity and mortality results from a prospective randomized controlled trial comparing D2 and extended para-aortic lymphadenectomy-Japan clinical oncology group study 9501. J Clin Oncol. 22:2767–2773. 2004. View Article : Google Scholar : PubMed/NCBI

28 

Marrelli D, Pedrazzani C, Neri A, Corso G, DeStefano A, Pinto E and Roviello F: Complications after extended (D2) and superextended (D3) lymphadenectomy for gastric cancer: Analysis of potential risk factors. Ann Surg Oncol. 14:25–33. 2007. View Article : Google Scholar : PubMed/NCBI

29 

Günther K, Horbach T, Merkel S, Meyer M, Schnell U, Klein P and Hohenberger W: D3 lymph node dissection in gastric cancer: Evaluation of postoperative mortality and complications. Surg Today. 30:700–705. 2000. View Article : Google Scholar : PubMed/NCBI

30 

Bostanci EB, Kayaalp C, Ozogul Y, Aydin C, Atalay F and Akoglu M: Comparison of complications after D2 and D3 dissection for gastric cancer. Eur J Surg Oncol. 30:20–25. 2004. View Article : Google Scholar : PubMed/NCBI

31 

Sasako M, Sano T, Yamamoto S, Kurokawa Y, Nashimoto A, Kurita A, Hiratsuka M, Tsujinaka T, Kinoshita T, Arai K, et al: D2 lymphadenectomy alone or with para-aortic nodal dissection for gastric cancer. N Engl J Med. 359:453–462. 2008. View Article : Google Scholar : PubMed/NCBI

32 

Kulig J, Popiela T, Kolodziejczyk P, Sierzega M and Szczepanik A; Polish Gastric Cancer Study Group, : Standard D2 versus extended D2 (D2+) lymphadenectomy for gastric cancer: An interim safety analysis of a multicenter, randomized, clinical trial. Am J Surg. 193:10–15. 2007. View Article : Google Scholar : PubMed/NCBI

33 

Danielson H, Kokkola A, Kiviluoto T, Sirén J, Louhimo J, Kivilaakso E and Puolakkainen P: Clinical outcome after D1 vs D2-3 gastrectomy for treatment of gastric cancer. Scand J Surg. 96:35–40. 2007. View Article : Google Scholar : PubMed/NCBI

34 

Kunisaki C, Akiyama H, Nomura M, Matsuda G, Otsuka Y, Ono H, Nagahori Y, Hosoi H, Takahashi M, Kito F and Shimada H: Comparison of surgical results of D2 versus D3 gastrectomy (para-aortic lymph node dissection) for advanced gastric carcinoma: A multi-institutional study. Ann Surg Oncol. 13:659–667. 2006. View Article : Google Scholar : PubMed/NCBI

35 

Wu CW, Hsiung CA, Lo SS, Hsieh MC, Shia LT and Whang-Peng J: Randomized clinical trial of morbidity after D1 and D3 surgery for gastric cancer. Br J Surg. 91:283–287. 2004. View Article : Google Scholar : PubMed/NCBI

36 

Wu XS, Wu WG, Li ML, Yang JH, Ding QC, Zhang L, Mu JS, Gu J, Dong P, Lu JH and Liu YB: Impact of being overweight on the surgical outcomes of patients with gastric cancer: A meta-analysis. World J Gastroenterol. 19:4596–4606. 2013. View Article : Google Scholar : PubMed/NCBI

37 

Kim JH, Chin HM, Hwang SS and Jun KH: Impact of intra-abdominal fat on surgical outcome and overall survival of patients with gastric cancer. Int J Surg. 12:346–352. 2014. View Article : Google Scholar : PubMed/NCBI

38 

Yoshida K, Kodera Y, Kochi M, Ichikawa W, Kakeji Y, Sano T, Nagao N, Takahashi M, Takagane A, Watanabe T, et al: Addition of docetaxel to oral fluoropyrimidine improves efficacy in patients with stage III gastric cancer: Interim analysis of JACCRO GC-07, a randomized controlled trial. J Clin Oncol. 37:1296–1304. 2019. View Article : Google Scholar : PubMed/NCBI

39 

Mahar AL, McLeod RS, Kiss A, Paszat L and Coburn NG: A systematic review of the effect of institution and surgeon factors on surgical outcomes for gastric cancer. J Am Coll Surg. 214:860–868.e12. 2012. View Article : Google Scholar : PubMed/NCBI

40 

Smith DL, Elting LS, Learn PA, Raut CP and Mansfield PF: Factors influencing the volume-outcome relationship in gastrectomies: A population-based study. Ann Surg Oncol. 14:1846–1852. 2007. View Article : Google Scholar : PubMed/NCBI

Related Articles

  • Abstract
  • View
  • Download
  • Twitter
Copy and paste a formatted citation
Spandidos Publications style
Guo Y, Zhang XD, Zhang GT, Song XF, Yuan Y, Zhang P and Song YC: Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study. Oncol Lett 27: 84, 2024.
APA
Guo, Y., Zhang, X.D., Zhang, G.T., Song, X.F., Yuan, Y., Zhang, P., & Song, Y.C. (2024). Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study. Oncology Letters, 27, 84. https://doi.org/10.3892/ol.2024.14218
MLA
Guo, Y., Zhang, X. D., Zhang, G. T., Song, X. F., Yuan, Y., Zhang, P., Song, Y. C."Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study". Oncology Letters 27.2 (2024): 84.
Chicago
Guo, Y., Zhang, X. D., Zhang, G. T., Song, X. F., Yuan, Y., Zhang, P., Song, Y. C."Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study". Oncology Letters 27, no. 2 (2024): 84. https://doi.org/10.3892/ol.2024.14218
Copy and paste a formatted citation
x
Spandidos Publications style
Guo Y, Zhang XD, Zhang GT, Song XF, Yuan Y, Zhang P and Song YC: Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study. Oncol Lett 27: 84, 2024.
APA
Guo, Y., Zhang, X.D., Zhang, G.T., Song, X.F., Yuan, Y., Zhang, P., & Song, Y.C. (2024). Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study. Oncology Letters, 27, 84. https://doi.org/10.3892/ol.2024.14218
MLA
Guo, Y., Zhang, X. D., Zhang, G. T., Song, X. F., Yuan, Y., Zhang, P., Song, Y. C."Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study". Oncology Letters 27.2 (2024): 84.
Chicago
Guo, Y., Zhang, X. D., Zhang, G. T., Song, X. F., Yuan, Y., Zhang, P., Song, Y. C."Laparoscopic D2+ lymph node dissection in patients with obesity and gastric cancer: A retrospective study". Oncology Letters 27, no. 2 (2024): 84. https://doi.org/10.3892/ol.2024.14218
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team