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Updated: Jun 7, 2026
Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
The extent of lymph node dissection for gastric cancer: a critical appraisal
Eelco de Bree1, Vasilis Charalampakis, John Melissas
1Department of Surgical Oncology, Medical School of Crete University Hospital, Heraklion, Greece. debree@edu.uoc.gr
Abstract:
The extent of lymphadenectomy during therapeutic gastrectomy for gastric cancer remains a protracted and controversial issue. While traditionally extended lymphadenectomy is performed in Eastern Asia, limited lymphadenectomy is advocated by most western surgeons. Two large western randomized trials, meta-analyses and a recent systematic review were unable to demonstrate overall benefit from extended lymphadenectomy. In this review, the currently available data on this topic are critically evaluated, while ongoing studies and future perspective are discussed.
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