title: [Lymphodissection in the treatment of early stomach cancer: D1 or D2?].
abstract: The study was designed to analyse results of D1- and D2-lymphodissection in 394 patients with early stomach cancer between 1990-2007. Risk factors of lymphogenic metastasis (lymphatic invasion, submucous invasion, tumour size in excess of 4 cm, venous invasion, tumour spread to the oesophagus, type 0I and 0II tumors, poor differentiation) are considered to be an absolute indication for D2-lymphodissection that allows to significantly reduce the frequency of relapses and improve the outcome of surgery. The restriction of surgery volume to D1-lymphodissection is possible only in patients with negligibly low risk of metastasis regardless of the type of early cancer.
authors.forename: M I
authors.initials: MI
authors.lastname: Davydov
authors.forename: I N
authors.initials: IN
authors.lastname: Turkin
mesh_terms: D006801:Humans; D008197:Lymph Node Excision / Q000379:methods; D008198:Lymph Nodes / Q000601:surgery*; D008207:Lymphatic Metastasis; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*