Lymph Node Dissection in Resectable Advanced Gastric Cancer

Wobbe O. de Steur, Johan L. Dikken, Henk H. Hartgrink
2013 Digestive Surgery  
ing the removal of the para-aortic nodes to a D2 dissection does not further improve survival. The removal of lymph node stations 10 and 11 by splenectomy showed an increased morbidity, no survival benefit, and a very poor prognosis if lymph nodes were affected. Therefore, pancreaticosplenectomy should only be performed in cases of tumor invasion into these organs. A D2 dissection without routine splenectomy and pancreatic tail resection in experienced hands should be considered standard of
more » ... for advanced resectable gastric cancer, both in Asian and in Western patients. Centralization and auditing may further improve outcomes after gastrectomy.
doi:10.1159/000350873 pmid:23867585 fatcat:pfebcfjnuvcqrcc7twt567qftu