Comparison of complications between D1 and D2 operative methods in gastric cancer with liver cirrhosis                    ZHANG Chi, HU Xiang. The First Department of General Surgery, the First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Corresponding author：ZHANG Chi，E-mail:surgeon_zc1978@yahoo.com.cn
Abstract    Objective    To investigate complication after D1 and D2 lymph node dissection for gastric cancer with liver cirrhosis.  Methods    The clinical data of 54 cases of gastric caner with liver cirrhosis received radical gastrectomy between March 1994 and March 2006 at the First Affiliated Hospital of Dalian Medical University were analyzed retrospectively. The therapeutic efficacy of D1 and D2 lymph node dissection was compared. Results    The 1-, 3- and 5- year survival rates of the 54 cases were 77.8%, 44.4% and 33.3%; of which those of D1 were 81.3%, 37.5% and 25.0% and those of D2 were 76.3%, 47.4% and 36.8%（P>0.05）. Median survival time of 54 cases was 32 months; of which that of D1 was 23 months and that of D2 was 34 months. There was no significant difference in complication incidences between D1 and D2 in Child-Pugh grade A.（P>0.05）. The incidence of hepatonepheric functional disturbance in D2 in Child-Pugh grade B and C was higher than that of D1（P<0.05）. Conclusion    There is no significant difference in survival rates of gastric cancer with liver cirrhosis between D1 and D2. D2 lymph node dissection does not increase the risk of complications in Child-Pugh grade A . D2 lymph node dissection should be perform cautiously for gastric cancer with liver cirrhosis in Child-Pugh grade B or C.