The issue of lymphadenectomy during laparoscopic gastrectomy for gastric carcinoma

Memon, Muhammed Ashraf, Butler, Nick and Memon, Breda (2010) The issue of lymphadenectomy during laparoscopic gastrectomy for gastric carcinoma. World Journal of Gastrointestinal Oncology, 2 2: 65-67. doi:10.4251/wjgo.v2.i2.65

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Author Memon, Muhammed Ashraf
Butler, Nick
Memon, Breda
Title The issue of lymphadenectomy during laparoscopic gastrectomy for gastric carcinoma
Journal name World Journal of Gastrointestinal Oncology   Check publisher's open access policy
ISSN 1948-5204
Publication date 2010-02-15
Sub-type Editorial
DOI 10.4251/wjgo.v2.i2.65
Open Access Status DOI
Volume 2
Issue 2
Start page 65
End page 67
Total pages 3
Editor Lian-Sheng Ma
Place of publication Wanchai, Hong Kong, China
Publisher Baishideng Publishing Group
Language eng
Formatted abstract
Surgical resection remains the mainstay of treatment for gastric cancer. Laparoscopic assisted gastrectomy has failed to gain universal acceptance as an alternative to the open approach for a number of reasons, one of which includes the issue of oncological radicality in terms of lymph node dissection. Nodal status, which is one of the most crucial and independent predictors of patient survival, therefore has been examined both in single institutional trials and also in randomised controlled trials especially on early gastric cancer. The issue of oncological adequacy for laparoscopic lymph node harvesting for advanced gastric cancer remains a contentious issue because of the unique challenges it poses in terms of complexity, safety and time, and also the lack of randomised controlled trials in this area. It is thus imperative that good quality multicentre randomised controlled trials are designed to investigate the benefits of extended lymphadenectomy in the setting of laparoscopic surgery, especially for advanced gastric cancer and its impact on both short and long term survival.
© 2010 Baishideng. All rights reserved.
Keyword Gastrectomy
Randomised controlled trials
Laparoscopic method
Comparative studies
Retrospective trials
Patient’s outcome
Q-Index Code CX
Q-Index Status Confirmed Code
Institutional Status UQ
Additional Notes Published under Editorial

Document type: Journal Article
Sub-type: Editorial
Collections: Non HERDC
School of Medicine Publications
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Created: Wed, 16 Mar 2011, 22:56:59 EST by Sharleen Young on behalf of Medicine - Royal Brisbane and Women's Hospital