[Criteria for the extension of gastric and lymphatic resection in gastric cancer surgery].
After a brief historical review where are pointed out the circuMstances of the first successful gastrectomy performed by Billroth (Billroth I), gastroenteroanastomosis by Wölfler, Wölfler and Roux in-Y anastomosis, Billroth II reconstruction and types and techniques of lymphadenectomies, it is exposed the author's experience over 927 gastric cancer, cardias included, explaining the surgical technique performed: gastrectomy according to size, tumor localization and D1 lymphadectomy, evaluating to perform a D2 during operation, obtaining an overlife of 56% after 5 years when tumor was only placed in the stomach, and only of 19% when N1 lymph-nodes where affected and 6% if invasion reached N2 group. Overlife of cardias cancer has moved between 11 and 20%. Some comments are made on the surgeon evaluation of the lymp-nodes afectation and on the advantages and disadvantages of performing a radical or standard lymphadenectomy.
Tamames Escobar
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D005743:Gastrectomy / Q000266:history / Q000379:methods*; D049672:History, 19th Century; D049673:History, 20th Century; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D013274:Stomach Neoplasms / Q000601:surgery*
Criterios sobre la extensión de la resección gástrica y linfática en la cirugía del cáncer de estómago.