title: Gastric cancer: D2 dissection or low Maruyama Index-based surgery--a debate.
abstract: This article provides perspectives on the surgical approaches required optimally to manage patients with respectable gastric adenocarcinoma. The status of techniques of surgical resection in the management of gastric cancer is reviewed. The premise of this approach is that extended gastrectomy with D2 lymph node dissection is good. Also addressed are prognostic and predictive factors in the surgical treatment of stomach cancer.
authors.affiliation: State University of New York at Buffalo, Capen Hall, Buffalo, NY 14260, USA.
authors.forename: Harold O
authors.initials: HO
authors.lastname: Douglass
authors.forename: Scott A
authors.initials: SA
authors.lastname: Hundahl
authors.forename: John S
authors.initials: JS
authors.lastname: Macdonald
authors.forename: Vijay P
authors.initials: VP
authors.lastname: Khatri
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D003131:Combined Modality Therapy; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008198:Lymph Nodes / Q000473:pathology; D009361:Neoplasm Invasiveness; D009367:Neoplasm Staging / Q000379:methods; D010534:Peritoneal Neoplasms / Q000556:secondary; D011379:Prognosis; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery*; D016019:Survival Analysis