Naslov
Surgical treatment of gastric cancer

Autori
Škegro, Mate ; Deban, Ognjan ; Baotić, Tomislav ; Silovski, Hrvoje

Izvornik
Libri oncologici : Croatian journal of oncology (0300-8142) 34 (2006), 1-3; 7-11

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
gastric cancer, surgical treatment, lymphadenectomy

Sažetak
Gastric cancer remains one of the commonest causes of cancer death worldwide. According to Croatian Cancer Reg- istry, 1282 new patients with gastric cancer were reported in year 2003 in Croatia. Radical surgical resection is the only potentialy curable method of treatment of these patients. Since lymph node metastases occur during the early stages of disease, regional lymphadenectomy is recommended as a part of radical gastrectomy but there is no worldwide consen- sus about the extent of the lymphadenectomy needed to achive optimal results. Japanese surgeons first introduced radical D2 lymphadenectomy with distal splenopancreatectomy and achieved impressive long term survival results using this method. No western randomized trial showed better survival results after D2 lymphadenectomy compared to D1, but pa- tients after D2 had significantly higher postoperative mortality and morbidity. European authors showed improved sur- vival rates without increase in morbidity and mortality in patients treated by modified D2 operation – D2 extent lymphadenectomy without pancreaticosplenectomy. Our aim in this paper is to give a review of current surgical therapy of gastric cancer and to show postoperative results in patients operated for gastric cancer in our surgical department from year 2001 to 2005.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti

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