, Volume 16, Issue 8, pp 2377-2378
Date: 19 May 2009

The Decisive Role of Surgeon’s Experience in Short-Term and Long-Term Oncological Outcomes and Quality of Life in Gastric Cancer

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To the Editors:

Quality of surgery was thought to be the key to improving short- and long-term survival of patients with a potentially curable disease.1 Accumulating data now support this notion. High-volume hospitals and/or surgeons improve the short-term outcomes of patients undergoing high-risk surgical resection for solid cancers. However, for resectable gastric cancer, evidence for the role of surgical quality in outcomes remains scarce.

To shed light on this issue, Verlato et al. report the effect of extent of lymphadenectomy (D1, D2, or D3) in short-term outcomes.2 The authors analyzed the data of 1032 patients who underwent gastrectomy for gastric cancer and concluded that extensive D2 or D3 lymphadenectomy is not associated with increased postoperative morbidity or mortality.

The best examples of surgical excellence and what it can achieve come from Japan. Sasako et al. compared the clinical outcomes of patients with stage II or III gastric cancer who underwent gastrectomy with e