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Assessment of laparoscopic spleen-preserving hilar lymphadenectomy for advanced proximal gastric cancer without invasion into the greater curvature. A randomized clinical trial.

6 March 2023
Randomized clinical trials Upper GI
Lin J-X, Lin J-P, Wang Z_K, Li P, Xie J-W, Wang J-B et al.

JAMA Surg 2023; 158: 10-18.

In this study that included 526 patients with proximal gastric cancer that had not invaded the greater curvature, the studied procedure did not improve 3-year disease-free survival compared to standard gastrectomy: 70.3 vs. 64.3 per cent, respectively, P=0.11).

Comment: Subgroup analysis suggested that patients with advanced posterior gastric cancer may benefit from this procedure.

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rct137
Randomized clinical trials
Randomized clinical trials
Upper GI
Assessment of laparoscopic spleen-preserving hilar lymphadenectomy for advanced proximal gastric cancer without invasion into the greater curvature. A randomized clinical trial.
Lin J-X, Lin J-P, Wang Z_K, Li P, Xie J-W, Wang J-B et al.
06032023
JAMA Surg 2023; 158: 10-18.
In this study that included 526 patients with proximal gastric cancer that had not invaded the greater curvature, the studied procedure did not improve 3-year disease-free survival compared to standard gastrectomy: 70.3 vs. 64.3 per cent, respectively, P=0.11).
Comment: Subgroup analysis suggested that patients with advanced posterior gastric cancer may benefit from this procedure.
Published on: 6 March 2023
Article ID: rct137

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