[The latest surgical treatment for gastric carcinoma, aiming both at cure and postoperative quality of life].
Based on the progress in both medical techniques and tools, in addition to the evaluation of accumulated cases, some new surgical treatments for gastric carcinoma have been attempted which aim both at cure and postoperative quality of life. Sentinel node navigation surgery, autonerve-preserving gastrectomy, laparoscopic surgery and extended surgery combined with neo-adjuvant chemotherapy are reviewed as the treatments promising further development. While it is true that many problems remain to be settled in each treatment, the advantages of these new treatments are greater than those of the standard one. A prudent attitude toward the indications and detailed study of the outcome, therefore, will be required for these treatments to become standard in the future.
Dept. of Surgery, Tokyo Metropolitan Komagome Hospital, Japan.
K
K
Arai
Y
Y
Iwasaki
M
M
Ohashi
T
T
Takahashi
D004724:Endoscopy; D005743:Gastrectomy / Q000534:rehabilitation; D006801:Humans; D010535:Laparoscopy; D008197:Lymph Node Excision; D020360:Neoadjuvant Therapy; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000534:rehabilitation* / Q000601:surgery*