| Autor: |
Fujita, Rikiya, Jass, Jeremy R., Schlemper, Ronald J., Kaminishi, Michio, Shimoyama, Shoji, Yamaguchi, Hirokazu, Aoki, Fumio, Shimizu, Nobuyuki, Nomura, Sachiyo, Mimura, Toshiki, Hiki, Naoki, Kawahara, Masaki, Seto, Yasuyuki, Mafune, Ken-ichi |
| Zdroj: |
Early Cancer of the Gastrointestinal Tract; 2006, p259-272, 14p |
| Abstrakt: |
Subtotal gastrectomy with lymphadenectomy including Group 2 lymph nodes, D2 lymphadenectomy, has been performed in Japan as a standard surgical treatment for gastric cancer regardless of its stage, and good survival rates have been obtained. However, retrospective analysis of the results revealed that about 80% of early cancers have no lymph node involvement, suggesting curative treatment of these early cancers without the standard D2 lymphadenectomy; they may be curative with limited surgery. Limited surgery includes two limitations, the scope of the gastrectomy and lymphadenectomy. In terms of quality of life (QOL) after gastric surgery, preservation of the gastric function and less invasive surgery are desirable. In this section, we discuss indications and results of limited surgery for early gastric cancer. Furthermore, application of a newly developed surgical treatment will be proposed. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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