Surgical treatment of early cancer of the proximal third of the stomach.
A retrospective study was conducted in search of an optimal surgical procedure for early cancer of the proximal stomach. The clinicopathological findings and survival data of 128 patients operated on during a recent period of 16 years were analyzed. Nodal metastasis was found in 12% of the patients and had a significant influence on the survival. It was more frequently observed in the undifferentiated type, regardless of the tumor size. Most metastases were found in the proximal paragastric nodes, and no metastasis was observed in the pyloric region or at the splenic hilum. These facts suggest that while the resection of paragastric nodes is advocated, neither total gastrectomy nor splenectomy is required simply for the purpose of lymphadenectomy.
Kodera
Y
Y
Department of Gastroenterological Surgery, Aichi Cancer Centre, Nagoya, Japan.
Yamamura
Y
Y
Shimizu
Y
Y
Torii
A
A
Hirai
T
T
Yasui
K
K
Morimoto
T
T
Kato
T
T
Kito
T
T
D006801:Humans; D007902:Length of Stay; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate