ABSTRACT

Our objective in this study is to compare the preoperative parameters and postoperative early results of patients with gastric adenocarcinoma who were treated with radical gastrectomy and regional lymph node dissection technique and who underwent bursectomy additional to this technique.

A total of 50 patients with gastric adenocarcinoma who underwent radical gastrectomy + D2 dissection (A) and radical gastrectomy + D2 dissection + bursectomy (B) in our clinic between January 2010 and January 2013 were evaluated retrospectively. Patients who underwent A and B surgeries were compared for their demographic characteristics, tumor histopathologies, perioperative status and postoperative complications within the first 30 days.

When demographic characteristics and tumor histopathologies of the patients were compared, no statistically significant difference was found between the 2 groups. When the patints’ perioperative status and postoperative complications within the first 30 days were compared, pancreatic leakage and pulmonary effusion were observed more frequently in the group with bursectomy; but the differences between the 2 groups were not statistically significant.

By comparing the early results in our study, no differences were demonstrated in 2 groups in terms of complications and benefits. It is concluded that there is a need to evaluate the benefits and harms of bursectomy with more preoperative stating data and postoperative longer follow-up.

Keywords: Gastric cancer, bursectomy, postoperative complication