Current best practices and rationalistic perspectives in causation-based prevention, early detection and multidisciplinary treatment of breast and gastric cancer


Gastric & Breast Cancer
DOI: 10.2122/gbc.2004.0036

REVIEW
Standards and Trends in the Surgical Treatment of Gastric Cancer

Theodor Liakakos* M.D., Michael Fatouros, M.D., Kitty Pavlaki, M.D., Ioannis Arampatzis, MD, Gabriel Karatzas, M.D.
Abstract

Based on standardized criteria, there is currently universal consensus on the extent of the primary tumor resection (partial or total gastrectomy) and the resection of neighboring organs (esophagus, spleen, pancreas). However, there is considerable debate on the extent of lymphadenectomy (limited, D1 vs. extended, D2) required .

Under the light of new data from randomized and nonrandomized studies, and research developments in understanding the mechanisms underlying recurrence after surgery and the factors that affect this event, current surgical decisions–making and strategies to reduce the incidence of recurrence can be determined. R0 resection and recurrence prevention are the current surgical goals in the treatment of localized gastric cancer.

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Online ISSN : 1109 - 7647
   Print ISSN : 1109 - 7655

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last update: 22 May 2003