保脾根治D2胃切除空肠Roux 66mb

Spleen Preserving Radical D2 Gastrectomy with Uncut-Roux reservoir

The question how to operate gastric cancer is still very actual. In literature we can find many controversies about the volume of needed dissection. As I believe D2 LN dissection is very important to reach oncologically adequate result. It is not only useful for staging of disease. In the huge group of patients it really improves survival and creates a basis for more effective postoperative chemotherapy.

The fact is that too much surgeons declare but really not perform this operation. I listened to J.M.Collard the outstanding Belgian surgeon in Bangkok IASGO meeting. He has a great experience in GI surgery. He really believes in Japanese-like D2 lymphnode dissection. Also he said in his lecture that he knows only several specialists in Europe who do it really, not N1+ procedure. It was a motivation to make this movie.