Validation of limited lymphadenectomy for lower-third gastric cancer based on depth of tumour invasion

Abstract

D1 dissection plus stations 7 and 8a for mucosal cancer, and D2 dissection for cancers of the muscularis propria or deeper seems appropriate. For submucosal cancer, an expanded dissection to the D2 level should be considered to ensure complete removal of metastatic LNs.

Comparison of long-term results between laparoscopy-assisted gastrectomy and open gastrectomy with D2 lymph node dissection for advanced gastric cancer

“…From the standpoint of advanced gastric cancer curability, gastrectomy with D2 lymph node dissection is required according to the Japanese Gastric Cancer Association (JGCA) guidelines [10,[22][23][24], but performing this operation by laparoscopic surgery requires a highly advanced technique. Some surgeons with prominent techniques have already practiced LAG with D2 lymph node dissection [25,26].…”

Stomach hanging technique using gauze during laparoscopic gastrectomy

“…Although the incidence of lymph node metastasis is low in early gastric cancer, the chance of metastasis to lymph nodes in the suprapancreatic area is not so low as to justify omitting lymphadenectomy in this area. The incidences of metastasis to lymph node stations 7, 8a, and 11p were 5.3%, 3.3%, and 1.5%, respectively, in submucosal cancer, and increased to 10.9%, 10.1%, and 2.5%, respectively, in muscularis propria‐invading cancer according to an analysis of 1050 patients with low‐third gastric cancer at our institute . However, lymph node dissection in the suprapancreatic area is one of the most demanding procedures in laparoscopic gastrectomy .…”

Five-year Survival Associated with Stage I Gastric Cancer after Resection of Early Recurrence at Nodal Station No. 14v: a Case Report

“…Meanwhile, the rate of No. 14v lymph node metastases in T1a and T1b early gastric cancer is reported to be lower: 0.0% and 0.7%, respectively [8]. Additionally, some studies have emphasized that a No.…”