title: Morbidity and Mortality of Laparoscopic Versus Open D2 Distal Gastrectomy for Advanced Gastric Cancer: A Randomized Controlled Trial.
abstract: OBJECTIVE
  The safety and efficacy of radical laparoscopic distal gastrectomy (LG) with D2 lymphadenectomy for the treatment of advanced gastric cancer (AGC) remain controversial. We conducted a randomized controlled trial to compare laparoscopic and conventional open distal gastrectomy with D2 lymph node dissections for AGC.
  
  
  METHODS
  Between September 2012 and December 2014, 1,056 patients with clinical stage T2-4aN0-3M0 gastric cancer were eligible for inclusion. They were randomly assigned to either the LG with D2 lymphadenectomy group (n = 528) or the open gastrectomy (OG) with D2 lymphadenectomy group (n = 528). Fifteen experienced surgeons from 14 institutions in China participated in the study. The morbidity and mortality within 30 days after surgery between the LG (n = 519) and the OG (n = 520) groups were compared on the basis of the modified intention-to-treat principle. Postoperative complications were stratified according to the Clavien-Dindo classification.
  
  
  RESULTS
  The compliance rates of D2 lymphadenectomy were similar between the LG and OG groups (99.4% v 99.6%; P = .845). The postoperative morbidity was 15.2% in the LG group and 12.9% in OG group with no significant difference (difference, 2.3%; 95% CI, -1.9 to 6.6; P = .285). The mortality rate was 0.4% for the LG group and zero for the OG group (difference, 0.4%; 95% CI, -0.4 to 1.4; P = .249). The distribution of severity was similar between the two groups (P = .314).
  
  
  CONCLUSIONS
  Experienced surgeons can safely perform LG with D2 lymphadenectomy for AGC.
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Yanfeng
authors.initials: Y
authors.lastname: Hu
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Changming
authors.initials: C
authors.lastname: Huang
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Yihong
authors.initials: Y
authors.lastname: Sun
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Xiangqian
authors.initials: X
authors.lastname: Su
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Hui
authors.initials: H
authors.lastname: Cao
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Jiankun
authors.initials: J
authors.lastname: Hu
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Yingwei
authors.initials: Y
authors.lastname: Xue
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Jian
authors.initials: J
authors.lastname: Suo
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Kaixiong
authors.initials: K
authors.lastname: Tao
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Xianli
authors.initials: X
authors.lastname: He
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Hongbo
authors.initials: H
authors.lastname: Wei
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Mingang
authors.initials: M
authors.lastname: Ying
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Weiguo
authors.initials: W
authors.lastname: Hu
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Xiaohui
authors.initials: X
authors.lastname: Du
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Pingyan
authors.initials: P
authors.lastname: Chen
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Hao
authors.initials: H
authors.lastname: Liu
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Chaohui
authors.initials: C
authors.lastname: Zheng
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Fenglin
authors.initials: F
authors.lastname: Liu
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Jiang
authors.initials: J
authors.lastname: Yu
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Ziyu
authors.initials: Z
authors.lastname: Li
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Gang
authors.initials: G
authors.lastname: Zhao
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Xinzu
authors.initials: X
authors.lastname: Chen
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Kuan
authors.initials: K
authors.lastname: Wang
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Ping
authors.initials: P
authors.lastname: Li
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
authors.forename: Jiadi
authors.initials: J
authors.lastname: Xing
authors.affiliation: Yanfeng Hu, Hao Liu, Jiang Yu, and Guoxin Li, Nanfang Hospital, Southern Medical University; Hongbo Wei, The Third Affiliated Hospital of Sun Yat-Sen University; Pingyan Chen, Southern Medical University, Guangzhou; Changming Huang, Chaohui Zheng, and Ping Li, Fujian Medical University Union Hospital; Mingang Ying, Fujian Provincial Cancer Hospital, Fuzhou; Yihong Sun and Fenglin Liu, Zhongshan Hospital, Fudan University; Hui Cao and Gang Zhao, Renji Hospital, Shanghai Jiao Tong University School of Medicine; Weiguo Hu, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai; Xiaohui Du, General Hospital of the People's Liberation Army; Xiangqian Su, Ziyu Li, and Jiadi Xing, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute, Beijing; Jiankun Hu and Xinzu Chen, West China Hospital, Sichuan University, Chengdu; Yingwei Xue and Kuan Wang, The Affiliated Tumor Hospital of Harbin Medical University, Harbin; Jian Suo, The First Hospital, Jilin University, Changchun; Kaixiong Tao, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan; and Xianli He, Tangdu Hospital, Fourth Military Medical University, Xi'an, China. gzliguoxin@163.com.
authors.forename: Guoxin
authors.initials: G
authors.lastname: Li
mesh_terms: D000230:Adenocarcinoma / Q000401:mortality / Q000556:secondary / Q000601:surgery*; D000328:Adult; D000368:Aged; D002681:China; D018572:Disease-Free Survival; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects / Q000401:mortality; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D018570:Risk Assessment; D012307:Risk Factors; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome