Standard Distal Gastrectomy with D2 Nodal Dissection
Hisakazu Hoshi*
Surgery, University of Iowa Hospitals and Clinics, Iowa City, IA
Gastric cancer is the second most frequent neoplasm worldwide, however, the incidence of this neoplasm is decreasing in the US and general surgeons rarely perform gastric resection regularly. Current NCCN guideline recommends minimum of D1 nodal dissection for curative resection and randomized D1 vs. D2 dissection trial suggests disease control benefit of the D2 nodal dissection in certain subgroups of the patients. The D2 nodal dissection is technically challenging if it is not done routinely. This video demonstrates technical detail of the standard D2 nodal dissection for stomach cancer and discusses pitfalls of the procedure.
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