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Invited Critique
December 21, 2009

Is Laparoscopic Total Gastrectomy the Right Operation?Comment on “Laparoscopic Total Gastrectomy With D2 Lymph Node Dissection for Gastric Cancer”

Arch Surg. 2009;144(12):1143. doi:10.1001/archsurg.2009.213

Laparoscopic total gastrectomy for advanced gastric cancer is an approach that has been developing since 1999, when it was first described by Azagra et al1 and Uyama et al.2 In this article, Shinohara et al show an expertise and technical skill with outcomes and lymphadenectomy comparable to those of open total gastrectomies.

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