Choice of the extent of lymphodissection in subtotal distal resection of the stomach

Short-and long-term results of radical surgery for 312 patients with gastric cancer who underwent subtotal distal resection of the stomach depending on the extent of perigastric lymphodissection were analyzed. Increase in the number of the removed lymph nodes up to D2,5 and D3 resulted no in the increase in the rate of postoperative complications. Postoperative complications occurred in 24.6 % of cases after extended lymphodissection and in 27.4 % of cases after the standard lymphodissection. There was a tendency to the improvement of long-term survival rates after D2,5 lymphodissection with the removal of left paracardial lymph nodes as compared to the standard D2 lymphodissection, but significant differences were not noted.