2009
DOI: 10.1001/archsurg.2009.223
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Laparoscopic Total Gastrectomy With D2 Lymph Node Dissection for Gastric Cancer

Abstract: The mortality rate of zero and acceptable morbidity of our series indicate that laparoscopic total gastrectomy with D2 lymphadenectomy is technically feasible and safe in the hands of experienced surgeons. Long-term follow-up is mandatory to validate oncologic outcome.

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Cited by 109 publications
(78 citation statements)
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References 27 publications
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“…There were no significant differences in hospital mortality. DFS in LTG was similar to that in OTG (HR, 0.62; 95% CI, 0.30, 1.27; P= 0.191) (Fig.2-3) [1][2][3][12][13][14][15][16][17][18][19][20].…”
Section: Discussionmentioning
confidence: 75%
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“…There were no significant differences in hospital mortality. DFS in LTG was similar to that in OTG (HR, 0.62; 95% CI, 0.30, 1.27; P= 0.191) (Fig.2-3) [1][2][3][12][13][14][15][16][17][18][19][20].…”
Section: Discussionmentioning
confidence: 75%
“…As far as port site some Author has reported negative results [10][11][12][13][14] while other authors have noticed that the time is shorter and closer to open technique when a dedicated laparoscopic team perform at least 50 LG [4,5]. Recently, Haverkamp et al meta-analysis have showed the superiority of LG vs OG but oncological outcomes are still being debated [2,11]. According to Japanese Guidelines, distal or total gastrectomy with D2 dissection improve survival.…”
Section: Discussionmentioning
confidence: 99%
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“…After LTG when splenectomy was also performed for complete D2 lymph node dissection, a higher incidence of postoperative complications occurred, equivalent to the incidence seen for OTGs [53,54].…”
Section: Postoperative Complicationsmentioning
confidence: 84%
“…Диссекция данной области является технически сложной процедурой вследствие вы-сокого риска кровотечения и (или) повреждения паренхимы поджелудочной железы (ПЖ) [1,9,10]. Для увеличения безопасности, эффективности и воспроизводимости супрапанкреатической лим-фодиссекции мы разработали оригинальную мето-дику, получившую название «медиальный доступ с ориентацией на поверхностный периваскулярный слой вегетативных нервов» [1,11,12].…”
Section: установка троакаров (портов) (рис 3) троакары устанавливаюunclassified