Open AccessLymphadenectomy in gastric cancer: Contentious issues
Author(s) -
Pankaj Garg,
Ashish Jakhetiya,
Jyoti Sharma,
M. D. Ray,
Durgatosh Pandey
Publication year - 2016
Publication title -
world journal of gastrointestinal surgery
Language(s) - Uncategorized
Resource type - Journals
ISSN - 1948-9366
DOI - 10.4240/wjgs.v8.i4.294
Subject(s) - medicine , lymphadenectomy , cancer , randomized controlled trial , surgery , general surgery , gastrectomy , stomach
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.