title: Results of local resection with regional lymphadenectomy for early gastric cancer.
abstract: BACKGROUND
  In 1999, the authors reported preliminary results of local resection with regional lymphadenectomy(LR) for early gastric cancer.
  
  
  METHODS
  Twenty-four patients underwent LR until May 2000. Laparoscopic techniques were recently applied. The dissected area for lymphadenectomy depended on the lymphatic flow from the tumor. Local gastric resection was performed with a 2 cm cancer-free margin. Among the 24 patients, 14 who had been followed up for more than 1 year were eligible for the nutritional study, and the nutritional parameters were compared with those for patients undergoing pylorus-preserving gastrectomy (PPG).
  
  
  RESULTS
  Twenty-two patients not receiving additional gastrectomy needed no restriction of food intake and had neither postgastrectomy symptoms nor recurrence. All nutritional parameters remained stable between the preoperative and the subsequent period. Nutritional superiority of LR over PPG was observed.
  
  
  CONCLUSIONS
  For selected patients with early gastric cancer, LR can be a treatment of choice to provide a good quality of life.
authors.affiliation: Department of Gastrointestinal Surgery, Faculty of Medicine, the University of Tokyo, Tokyo, Japan. yseto@h9.dion.ne.jp
authors.forename: Y
authors.initials: Y
authors.lastname: Seto
authors.forename: H
authors.initials: H
authors.lastname: Yamaguchi
authors.forename: S
authors.initials: S
authors.lastname: Shimoyama
authors.forename: N
authors.initials: N
authors.lastname: Shimizu
authors.forename: F
authors.initials: F
authors.lastname: Aoki
authors.forename: M
authors.initials: M
authors.lastname: Kaminishi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*