Distal Gastrectomy with D2 Nodal Dissection

  • Hisakazu HoshiEmail author


Although the incidence of gastric cancer is decreasing, radical distal gastrectomy and total gastrectomy are still occasionally performed. The appropriate extent of nodal dissection has been debated, but recent trials have shown better local tumor control (but no survival benefit) when D2 nodal dissection is performed with gastrectomy. This chapter details technique and pitfalls of distal gastrectomy with D2 nodal dissection procedure. Total gastrectomy with D2 dissection is described in Chap. 38.


Splenic Artery Distal Gastrectomy Common Hepatic Artery Left Gastric Artery Nodal Tissue 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Further Reading

  1. Hoshi H. Standard D2 and modified nodal dissection for gastric adenocarcinoma. Surg Oncol Clin N Am. 2012;21:57–70.PubMedCrossRefGoogle Scholar
  2. Hundahl SA, Macdonald JS, Benedetti J, et al. Surgical variation in a prospective, randomized trial of chemoradiotherapy in gastric cancer: the effect of undertreatment. Ann Surg Oncol. 2002;9:278–86.PubMedCrossRefGoogle Scholar
  3. Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer. 2011;14:101–12.CrossRefGoogle Scholar
  4. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver.3). Gastric Cancer. 2011;14:113–23.CrossRefGoogle Scholar
  5. Sasako M. D2 nodal dissection. Oper Tech Gen Surg. 2003;5(1):36–49.CrossRefGoogle Scholar
  6. Songun I, Putter H, Kranenbarg EM, et al. Surgical treatment of gastric cancer: 15-year follow-up results of the randomized nationwide Dutch D1D2 trial. Lancet Oncol. 2010;11(5):439–49.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Surgery, Surgical Oncology and Endocrine SurgeryUniversity of IowaIowa CityUSA

Personalised recommendations