Published in:
Open Access
01-10-2011 | Letter to the Editor
Extended lymph node dissection for gastric cancer from a European perspective
Authors:
Johan L. Dikken, Marcel Verheij, Annemieke Cats, Edwin P. M. Jansen, Henk H. Hartgrink, Cornelis J. H. van de Velde
Published in:
Gastric Cancer
|
Issue 4/2011
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Excerpt
The extent of lymphadenectomy for the curative treatment of gastric cancer has been subject to considerable debate over the past decades. Despite a plethora of retrospective and single-institution studies comparing different types of lymphadenectomy, only a limited number of randomized controlled trials have focused on this subject. Recently, Tanizawa et al. [
1] published an extensive review of existing evidence on lymph node dissection in gastric cancer. This comprehensive review discusses several aspects of lymphadenectomy, including limited versus extended lymphadenectomy, dissection of para-aortal lymph nodes, routine splenectomy and pancreatectomy, and lymph node dissection for early gastric cancer. However, shortly after the review was accepted several relevant and important studies on gastric cancer surgery were published. In the current letter, we wish to give a European perspective on the extent of lymphadenectomy that should be recommended for advanced, resectable gastric cancer, and reflect on several more recent developments. …
