[Extensive lymphadenectomy in gastrectomy and gastric resection in cancer]

When using routine methods of lymphadenectomy the excisable parietal groups of lymph nodes are left intact. This is considered to be an unjustified ground for refusal of a curative operation for gastric cancer Metastases to lymph nodes of these groups are frequently found in gastric cancer. The authors recommend to use extensive lymphadenectomy when the removed preparation includes the lymph nodes of parietal groups. It was shown that the degree of the operative risk did not increase in this case. Five year survival was achieved in certain patients having metastases to lymph nodes of parietal groups.