, Volume 23, Issue 7, pp 1681-1683
Date: 16 May 2009

Impact of laparoscopic D2 gastrectomy on long-term survival for early gastric cancer

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There has been a dramatic increase in the clinical use of laparoscopic gastrectomy for the treatment of early gastric cancer within a decade after its introduction in East Asia, particularly Korea [1]. There are several reasons that explain the rapid progress of laparoscopic D2 gastrectomy in Korea. These include the overall, high incidence of gastric cancer, the high rate of diagnosis at early stage, and the increasing number of high-volume hospitals and high-volume surgeons in laparoscopic gastrectomy in Korea. However, in an absence of both randomized, controlled trials and long-term, follow-up data, there is skepticism on a potential negative effect of laparoscopic gastrectomy on oncological outcomes.

Lee et al. [2], in a recent issue of Surgical Endoscopy, reported on long-term results after laparoscopy-assisted distal gastrectomy (LADG) for early gastric cancer. This study comes to bridge the gap in the absence of long-term outcomes data. The authors analyzed the clinicopathologic ...