Retrospective Study
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Jun 15, 2019; 11(6): 499-508
Published online Jun 15, 2019. doi: 10.4251/wjgo.v11.i6.499
Relationship between celiac artery variation and number of lymph nodes dissection in gastric cancer surgery
Guang-Chuan Mu, Yuan Huang, Zhi-Ming Liu, Zhi-Bai Chen, Xiang-Hua Wu, Xin-Gan Qin, Yan-Jun Zeng
Guang-Chuan Mu, Yuan Huang, Zhi-Bai Chen, Xiang-Hua Wu, Xin-Gan Qin, Department of Gastrointestinal Surgery, the First Affiliated Hospital of Guangxi Medical University, Nanning 530021, Guangxi Zhuang Autonomous Region, China
Zhi-Ming Liu, Department of General Surgery, the Second Affiliated Hospital of Guangxi Medical University, Nanning 530000, Guangxi Zhuang Autonomous Region, China
Yan-Jun Zeng, Biomechanics and Medical Information Institute, Beijing University of Technology, Beijing 100124, China
Author contributions: Huang Y designed this study; Liu ZM, Wu XH, Qin XG, Chen ZB, and Zeng YJ conducted the study; Huang Y, Mu GC, and Chen ZB collected the data; Mu GC and Chen ZB interpreted the results; Mu GC and Huang Y drafted the article; Liu ZM revised the paper; All authors are in agreement with the content of the manuscript.
Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the First Affiliated Hospital of Guangxi Medical University.
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: All authors declare no conflicts-of-interest related to this article.
Open-Access: This article is an open-access article thatwas 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/
Corresponding author: 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
Telephone: +86-771-5356701 Fax:+86-771-5356559
Received: January 9, 2019
Peer-review started: January 9, 2019
First decision: January 18, 2019
Revised: February 27, 2019
Accepted: March 12, 2019
Article in press: March 13, 2019
Published online: June 15, 2019
Core Tip

Core tip:Celiac artery variation has been given great importance by surgeons. However, the distribution of the lymph nodes around the variant celiac artery and its effect on prognosis has rarely been examined. This study shows that variation of the celiac artery is an important factor affecting the lymph node clearance of gastric cancer, and the decrease in the number of lymph nodes dissection does not affect the prognosis. Therefore, lymph nodes dissection around abnormal hepatic artery, especial for the abnormal hepatic artery derived from the superior mesenteric artery, is not recommended.