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Lymph node dissection for gastric cancer: a critical review

Thales Paulo Batista, Mário Rino Martins
  • Thales Paulo Batista
    Department of Surgery/Oncology, FPS/IMIP - Faculdade Pernambucana de Saúde, Instituto de Medicina Integral Professor Fernando Figueira, Brazil | t.paulo@bol.com.br
  • Mário Rino Martins
    Department of Surgical Oncology, HCP - Hospital de Câncer de Pernambuco, Brazil

Abstract

Gastric cancer is one of the most common neoplasms and an important cause of cancer-related death worldwide. Efforts to reduce its high mortality rates are currently focused on multidisciplinary management. However, surgery remains a cornerstone in the management of patients with resectable disease. There is still some controversy as to the extent of lymph node dissection for potentially curable stomach cancer. Surgeons in eastern countries favor more extensive lymph node dissection, whereas those in the West favor less extensive dissection. Thus, extent of lymph node dissection remains one of the most hotly discussed aspects of gastric surgery, particularly because most stomach cancers are now often comprehensively treated by adding some perioperative chemotherapy or chemo-radiation. We provide a critical review of lymph nodes dissection for gastric cancer with a particular focus on its benefits in a multimodal approach.

Keywords

gastric cancer, lymph node dissection, lymphadenectomy.

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Submitted: 2012-02-29 19:52:05
Published: 2012-06-25 15:03:35
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Copyright (c) 2012 Thales Paulo Batista, Mário Rino Martins

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