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[Stomach carcinoma. Optimizing therapy by extended lymph node dissection].

G R Jatzko1, P H Lisborg, H Denk

  • 1Chirurgische Abteilung, Krankenhaus der Barmherzigen Brüder St. Veit/Glan.

Zentralblatt Fur Chirurgie
|July 27, 1999
PubMed
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Radical lymph node dissection (D2, D3 lymphadenectomy) improved long-term survival for Western gastric cancer patients, achieving rates comparable to Japanese studies. This surgical approach demonstrated acceptable postoperative mortality, reaffirming its value in gastric cancer treatment.

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Clinical Research

Context:

  • Gastric cancer prognosis is historically poor in Western countries compared to Japan.
  • Limited data exists on the efficacy of advanced lymphadenectomy techniques in Western patient populations.

Purpose:

  • To evaluate the impact of D2, D3 lymphadenectomy on long-term survival in Western gastric cancer patients.
  • To assess the safety and efficacy of radical lymph node dissection in a Western cohort.

Summary:

  • A prospective study evaluated 433 gastric cancer patients treated with D2, D3 lymphadenectomy between 1984-1996.
  • Five- and ten-year tumor-specific survival rates were 57.7% and 44.3%, respectively, with a median survival of 96 months.
  • Postoperative mortality was 4.8% for R0 resections and 10.4% for palliative procedures.

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Impact:

  • Radical D2, D3 lymphadenectomy achieved survival rates comparable to Japanese studies in Western patients.
  • The procedure demonstrated a low postoperative mortality rate, supporting its clinical value.
  • Results reaffirm the importance of radical lymph node dissection and wide resection margins for gastric cancer treatment.