Invited Commentary

Dr Li and colleagues present a single-institutional experience with extended lymphadenectomy for gastric cancer. The series includes 520 patients undergoing operation for gastroesophageal carcinoma over 2 decades. The authors uniquely classify patients as having D0/D1 vs D1+/D2 lymphadenectomy. In this nomenclature, D1+ is a D2 dissection that does not include station 10 (splenic hilum). Patients did not routinely undergo pancreatosplenectomy. The extent of dissection was classified retrospectively by review of the operative notes for details describing an extended lymphadenectomy; if this description was not included, it was assumed a D0 or D1 lymphadenectomy was performed.
Source: Journal of the American College of Surgeons - Category: Surgery Authors: Tags: New England surgical society article Source Type: research