Abstract

Objective To evaluate the safety of radical lymph node dissection on gastric cancer patients with liver cirrhosis and management of ascites.Methods A radical lymph node dissection on 26 gastric cancer patients with liver cirrhosis(LC) were reviewed retrospectively.Results Child-Pugh status was grade A in all 26 patients,and a D2 lymph nodes dissection was performed in 25 (96.2% )patients.The mean number of dissected lymph nodes was 33 ± 11.An abdominal drain was placed in 12 (46.2% )patients,and the average amount of fluid drainage was 463 ml/d.The drainage tube was removed on about days,and diuretics were used in 8(30.8% )patients.Conclusion An extended lynph node dissection is safe in gastric cancer patients with mild LC.Liver cirrhosis and postoperative ascites can be managed conservatively without any complications. Key words: Gastric cancer; Liver cirrhosis; Ascites radical surgery

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