Copyright
©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Oncol. Feb 15, 2016; 8(2): 136-146
Published online Feb 15, 2016. doi: 10.4251/wjgo.v8.i2.136
Published online Feb 15, 2016. doi: 10.4251/wjgo.v8.i2.136
Clinical significance of lymphadenectomy in patients with gastric cancer
Dezső Tóth, Department of General Surgery, Kenézy Teaching Hospital, 4043 Debrecen, Hungary
János Plósz, Department of Internal Medicine, Kenézy Teaching Hospital, 4043 Debrecen, Hungary
Miklós Török, Department of Pathology, Kenézy Teaching Hospital, 4043 Debrecen, Hungary
Author contributions: Tóth D, Plósz J and Török M designed this review; Tóth D wrote and edited the manuscript.
Conflict-of-interest statement: The authors have no conflicts of interest to disclose.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Dezső Tóth, MD, PhD, Associate Professor, Department of General Surgery, Kenézy Teaching Hospital, 2-26 Bartók Street, 4043 Debrecen, Hungary. detoth@gmail.com
Telephone: +36-30-9388867 Fax: +36-52-511797
Received: April 24, 2015
Peer-review started: April 26, 2015
First decision: August 1, 2015
Revised: November 18, 2015
Accepted: December 17, 2015
Article in press: December 18, 2015
Published online: February 15, 2016
Peer-review started: April 26, 2015
First decision: August 1, 2015
Revised: November 18, 2015
Accepted: December 17, 2015
Article in press: December 18, 2015
Published online: February 15, 2016
Core Tip
Core tip: Comparing the D1 and D2 dissections, it was found that there is a significant difference in postoperative morbidity and mortality, favoured D1 dissection without any difference in overall survival. The implementation of centralization and application of national guidelines could improve the surgical outcomes. More accurate stage-adapted surgery could be performed using the Maruyama computer program and sentinel lymph node biopsy in parallel fashion in gastric cancer.