Controversies in the surgical management of gastric cancer. Review uri icon

Overview

abstract

  • Although the incidence of gastric adenocarcinoma in the United States has declined steadily since the early 1900s, it remains a significant health problem. Progress has been made during the past few decades in several areas: Lymph node staging has been refined, perioperative mortality has fallen, and plausible adjuvant therapy has emerged. Currently, complete surgical resection is the mainstay of therapy because it is the only potentially curative option; however, considerable controversy remains regarding the specifics of a surgical approach. This article examines 4 major controversies in the management of gastric cancer: extent of gastric resection, role of extended lymph node dissection, value of elective splenectomy for proximal gastric lesions, and current state of adjuvant therapy. Pertinent retrospective and prospective studies are reviewed to help formulate meaningful conclusions.

publication date

  • January 1, 2003

Research

keywords

  • Gastrectomy
  • Stomach Neoplasms

Identity

Scopus Document Identifier

  • 0242679904

Digital Object Identifier (DOI)

  • 10.6004/jnccn.2003.0012

PubMed ID

  • 19764155

Additional Document Info

volume

  • 1

issue

  • 1