Lymphadenectomy in gastric cancer: Contentious issues.

Autor: Garg PK; Pankaj Kumar Garg, Ashish Jakhetiya, Jyoti Sharma, Mukur Dipi Ray, Durgatosh Pandey, Department of Surgical Oncology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India., Jakhetiya A; Pankaj Kumar Garg, Ashish Jakhetiya, Jyoti Sharma, Mukur Dipi Ray, Durgatosh Pandey, Department of Surgical Oncology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India., Sharma J; Pankaj Kumar Garg, Ashish Jakhetiya, Jyoti Sharma, Mukur Dipi Ray, Durgatosh Pandey, Department of Surgical Oncology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India., Ray MD; Pankaj Kumar Garg, Ashish Jakhetiya, Jyoti Sharma, Mukur Dipi Ray, Durgatosh Pandey, Department of Surgical Oncology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India., Pandey D; Pankaj Kumar Garg, Ashish Jakhetiya, Jyoti Sharma, Mukur Dipi Ray, Durgatosh Pandey, Department of Surgical Oncology, Dr BRA Institute Rotary Cancer Hospital, All India Institute of Medical Sciences, New Delhi 110029, India.
Jazyk: angličtina
Zdroj: World journal of gastrointestinal surgery [World J Gastrointest Surg] 2016 Apr 27; Vol. 8 (4), pp. 294-300.
DOI: 10.4240/wjgs.v8.i4.294
Abstrakt: The stomach is the sixth most common cause of cancer worldwide. Surgery is an important component of the multi-modality treatment of the gastric cancer. The extent of lymphadenectomy has been a controversial issue in the surgical management of gastric cancer. The East-Asian surgeons believe that quality-controlled extended lymphadenectomy resulting in better loco-regional control leads to survival benefit in the gastric cancer; contrary to that, many western surgeons believe that extended lymphadenectomy adds to only postoperative morbidity and mortality without significantly enhancing the overall survival. We present a comprehensive review of the lymphadenectomy in the gastric cancer based on the previously published randomized controlled trials.
Databáze: MEDLINE
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