Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	114895
Country	Italy

Category	Surgery
Manuscript Type	Review
Article Title	Which lymph node dissection should be performed in advanced distal gastric cancer? A critical assessment of D2 lymphadenectomy
Manuscript Source	Invited Manuscript
All Author List	Giuseppe Brisinda, Maria Michela Chiarello, Filomena Misuriello, Maria Cariati, Giuseppe Tropeano, Edoardo Piras, Gaia Altieri, Giada Bracalente and Valerio Papa
Funding Agency and Grant Number
Corresponding Author	Giuseppe Brisinda, MD, Professor, Emergency Surgery and Trauma Center, Fondazione Policlinico Universitario A Gemelli IRCCS, No. 8 Largo Agostino Gemelli, Rome 00168, Italy. gbrisin@tin.it
Key Words	Gastric cancer; Lymph node dissection; Lymph nodes metastases; Guidelines; Surgery
Core Tip	The extent of lymphadenectomy influences the prognosis in patients with distal gastric cancer. The most authoritative guidelines recommend a D2 lymphadenectomy in T2-T4 tumors, as well as T1N+, regardless of tumor location. The purpose of this review is to support the extension of lymph node dissection based on the existing literature. An analysis of the results is performed to assess the need for lymphadenectomy with removal of lymph nodes not included in the standard D2 lymphadenectomy in patients with distal gastric cancer, especially if the tumor is advanced.
Citation	Brisinda G, Chiarello MM, Misuriello F, Cariati M, Tropeano G, Piras E, Altieri G, Bracalente G, Papa V. Which lymph node dissection should be performed in advanced distal gastric cancer? A critical assessment of D2 lymphadenectomy. World J Gastrointest Surg 2026; In press

Received	2025-10-09 16:33
Peer-Review Started	2025-10-09 16:34
First Decision by Editorial Office Director	2025-12-26 09:06
Return for Revision	2025-12-26 09:06
Revised	2025-12-28 10:32
Publication Fee Transferred
Second Decision by Editor	2026-01-21 02:35
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-01-21 06:26
Articles in Press	2026-01-21 06:26
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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