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Actual 3-Year Survival After Laparoscopy-Assisted Gastrectomy for Gastric Cancer—Invited Critique
David Wayne Easter, MD;
Kari Thompson, MD
Arch Surg. 2009;144(6):565.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Although decreasing in incidence worldwide, gastric cancer remains a major public health risk, especially in the East, where it is the second most lethal malignant neoplasm. Authors Hwang and colleagues add to our understanding of the feasibility and safety of the laparoscopic approach to resection for early gastric cancers.
In their large series of nonobese patients with clinically staged early gastric cancer, no patient had preoperative evidence of lymph node disease or distant metastases. Their approach includes an aggressive approach to lymph node retrieval for T2 lesions.
Their results are comparable to those of other groups1-2 and are also favorable when compared with open resections.3-5 However, their proposal that 3-year follow-up approximates 5-year survival rates is hopeful. All but 3 of 7 recurrences presented after 20 months.
Although debatably affecting survival, lymph node dissections were useful for identifying patients at high risk of . . . [Full Text of this Article]
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Sun-Hwi Hwang, Do Joong Park, Ye Seob Jee, Min-Chan Kim, Hyung-Ho Kim, Hyuk-Joon Lee, Han-Kwang Yang, and Kuhn Uk Lee
Arch Surg. 2009;144(6):559-564.
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