J.Jpn. Surg. Soc.. 83(9): 842-846, 1982

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Report on the annual meeting

TREATMENT FOR GASTRIC CANCER

In surgical therapy for gastric cancer, 1) extensive resection, 2) expansive removal of regional lymph nodes and 3) circulatory cut off are three major essential points. In case of carcinoma of upper portion of the stomach, resection line should be placed at least 4.6, 2.3 and 3.0cm apart from oral margin of the lesion,in invasive, localized and middle types, respectively.
On the other hand, there is a very close relation between site of cancer and excised regional lymph node groups for accomplishment of more effective surgical therapy for gastric cancer.
Prerequisite for combined resection of pancreas and/or spleen, has been studied from the analysis of lymph node metastasis in advanced cases.
Additionally, from the analysis of 8126 cases of registrated gastric cancer in Japan, prognosis of postoperative gastric cancer has been studied in relation to degree of wall invasion, frequency of lymph node metastasis and site of cancer.
Moreover, Coenzyme Q₁₀ seems very useful to prevent the side effect due to cancer chemotherapy and lastly given a little comment about the effect of the circulating intraperitoneal hyperthermia therapy as one of adjuvant therapies in treatment of gastric cancer.

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