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A Journal on Surgery

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Chirurgia 1999 August;12(4):275-82

language: Italian

Prognostic evaluation of lymphadenectomy in gastric cancer

Del Buono G., Secci S., Fabbrucci P.


Systematic lymphadenectomy in gastrectomy due to cancer, which was introduced by the Japanese authors, is not widely used in Western countries. The main objections to this method regard the high incidence of complications and postoperative mortality, accompanied by an insignificant increase in survival. The authors examine their series of 37 consecutive cases of extended D2/D3 and super-extended D4 lymphadenectomy in order to evaluate the prognostic value in the light of international experience. In relation to the first point, they conclude by confirming a marked current reduction in postoperative morbidity and mortality, with values approaching those reported by the Japanese. Regarding the second point, namely the prognostic value, there appears to be a real increase in survival, but only in cases that are less advanced: N0 and N1.

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