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

[Abstract] [Full Text PDF] （in Japanese / 2180KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 97(4): 269-272, 1996

Feature topic

MODIFIED SURGERY FOR EARLY GASTRIC CANCER

1) Department of Surgery, Ichikawa General Hospital Tokyo Dental College, Ichikawa, Japan
2) Department of Surgery, Keio University School of Medicine, Tokyo, Japan
3) Center for Diagnostic and Therapeutic Endoscopy, Keio University Hospital, Tokyo, Japan

Keiichi Yoshino1), Shinji Ogawa1), Yoshihide Otani2), Tetsuro Kubota2), Koichiro Kumai3), Masaki Kitajima2)3)

Based on the sufficiently accumulated results of early gastric cancer (EGC), particularly the diagnostic accuracy regarding the depth of cancerous involvement in the gastric wall, lymph node metastasis, pattern of recurrence etc., the modified surgery has been induced for the treatment of EGC since late 1970’s.
The modification is as follows depending on the depth and location of EGC : constriction of size of gastric resection ; narrowing of the extent of lymphadenectomy ; preserving omentum, pancreas, spleen, pylorus, vagal nerve, lower esophageal sphincter etc ; sparing thoracotomy.
This kind of surgery has resulted in remarkable reduction of blood loss during surgery, reduced operation time and hospital stay, which have brought improved QOL to the patients as well as satisfactory survival rate after surgery.

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