Lymph Node Dissection
نویسندگان
چکیده
Gastric cancer remains as one of the leading causes of death worldwide (Yoshida et al., 2004). Middle third and distal cancers tend to decline worldwide. However, in the western populations proximal gastric cancers tend to increase even though the incidence of those cancers stays the same in Japan. Today, the incidence of early gastric cancer has reached above 50% in Japan while in the west two thirds of gastric cancers are at an advanced stage at the time of diagnosis (Biondi, 2010). This problem is complicated further by a recurrence rate of 40% to 65% in patients resected with curative intent (Dicken, 2005). Currently, the only potentially curative option for gastric cancer is surgery which may promise complete resection, although the extent of regional lymphadenectomy (LND) has been a matter of considerable debate.
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