Results of local resection with regional lymphadenectomy for early gastric cancer.
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.
Seto
Y
Y
Department of Gastrointestinal Surgery, Faculty of Medicine, the University of Tokyo, Tokyo, Japan. yseto@h9.dion.ne.jp
Yamaguchi
H
H
Shimoyama
S
S
Shimizu
N
N
Aoki
F
F
Kaminishi
M
M
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*