J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 2202KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 87(9): 1193-1196, 1986

Report on the annual meeting

INDIVIDUAL MODIFICATION OF SURGICAL OPERATION FOR GASTRIC CANCER

Department of Surgery, The Center for Adult Diseases, Osaka, Japan

Hiroshi Furukawa, Masahiro Hiratsuka, Osamu Ishikawa, Toshiyuki Kabuto, Ichiro Fukuda, Shingi Imaoka, Takeshi Iwanaga

The possibility of simplificatin of surgical operatin for early gastric cancer was discussed and extended resection for Borrmann 4 typed gastric cancer was compared with conventinal total gastrectomy.
1. After careful preoperative and intraoperative examination the lesion should be resected widely enough. Removal of surrounding organ cannot be permitted without a few exceptions.
2. When the lesion remains within mucosal layer, and is of elevated or elevated-deppressed types, or the size of lesion is within 0.5cm in diameter, the lymph node dissection can be limited within R1.
3. After the left upper abdominal evisceration (+ Appleby’s method) for Borrmann 4 typed gastric cancer, lnvasive scirrhous peritoneal recurrence decreased in its incidence, and 1 and 2 year survival rate was increased.

<< To previous pageTo next page >>

To read the PDF file you will need Adobe Reader installed on your computer.