Is D2 laparoscopic gastrectomy essential for elderly patients with advanced gastric cancer?

[摘要] We read with great interest the recent published study written by Sakaguchi and colleagues entitled “Is D2 laparoscopic gastrectomy essential for elderly patients with advanced gastric cancer? A propensity score matched analysis” (1), published in Journal of Gastrointestinal Oncology. The standard D2 gastrectomy has increasingly been adopted for elderly patients with gastric cancer (GC). However, the necessity of the standard D2 gastrectomy remains controversial, especially in older patients with advanced GC. With a total of 119 patients that underwent laparoscopic surgery with or without standard D2 gastrectomy. The authors have shown that D2 laparoscopic gastrectomy (D2 LG) is not recommended as a routine operation for elderly patients with GC. Although some limitations discussed by the authors, there still are some defects we are concerned.

[学科分类] 肿瘤学