Distal Gastrectomy D1 LND

Surgical video case: significant variability exists throughout the world in the extent of lymphadenectomy that is performed for gastric adenocarcinoma. D2 lymphadenectomy is the standard lymphadenectomy performed in high incidence countries such as Japan and South Korea, and less extensive lymphadenectomies are often performed in lower incidence countries such as the Unites States. There is little disagreement among gastric cancer experts that the minimum lymphadenectomy that should be performed for gastric adenocarcinoma beyond an early mucosal or submucosal tumor should be at least a D1 lymphadenectomy. D1 lymph node dissection including the perigastric lymph nodes, stations 3,4,5,6.