Extended lymphadenectomy in gastric cancer: when, for whom and why.

@article{Christodoulou1998ExtendedLI,
  title={Extended lymphadenectomy in gastric cancer: when, for whom and why.},
  author={Dimitrios Christodoulou},
  journal={Annals of the Royal College of Surgeons of England},
  year={1998},
  volume={80 1},
  pages={16-24}
}
Although lymph node metastasis is a major prognostic factor in gastric cancer, the optimal extent of lymph node dissection still remains a subject of debate. The influence of extended D2 lymphadenectomy on morbidity and long-term survival is controversial. Reports from many Japanese and some Western institutions show similar morbidity and mortality rates for both limited D1 and extended D2 resections. However, the four available randomised trials show a significant increase in operative… CONTINUE READING

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