What defines the extent of lymphodissection for early gastric cancer?

Автор: Turkin I.N., Davydov M.I.

Журнал: Сибирский онкологический журнал @siboncoj

Рубрика: Клинические исследования

Статья в выпуске: 2 (56), 2013 года.

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Surgery strategy for patients with early gastric cancer remains disputable. The main reason of controversy is the extent of surgical intervention, namely, whether D2 dissection improves treatment outcomes of early gastric cancer? The present study demonstrates treatment outcomes of 394 patients who underwent surgery for early gastric cancer between 1990–2008. The major risk factors for lymphogenic metastasis (lymphatic invasion, cancer invasion into submucous layer, tumor size > 4.0 cm, venous invasion, tumor spread to the esophagus, macroscopic types 0I and 0III and poorly-differentiated tumor) have been found to be an absolute indication for D2 lymphodissection. The restriction of surgery extent to D1-lymphodissection is possible only in patients with negligibly low risk of metastasis regardless of the type of early cancer.

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Early gastric cancer, surgical treatment, long-term results, extent of perigastric lymphodissection

Короткий адрес: https://sciup.org/14056311

IDR: 14056311

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