title: Gastric malignancy:  surgical management.
abstract: OBJECTIVE
  To highlight the recent changes and development in the surgical management of gastric adenocarcinoma. There is significant development in the field. However, issues like extent of resection, lymphadenectomy, and minimal access approach are still to be refined for clinical and oncological effectiveness and safety.
  
  
  RESULTS
  The outcomes of surgical treatment of gastric adenocarcinoma are improving due to several factors, including specialist unit settings, refinement of the surgical techniques, improved adequacy of lymphadenectomy and some other minor factors such as multidisciplinary team approach and the use of perioperative chemotherapy or radiotherapy. The most hot issue in the past year's literatures is the use of minimal access surgery for resection and lymphadenectomy. The trend of studies is supporting minimal access approach for limited, subtotal and even total gastrectomy.
  
  
  CONCLUSIONS
  The outcomes of surgical treatment of gastric adenocarcinoma are improving. Minimal access approach to treat gastric adenocarcinoma is evolving and continuing to have a substantial role in current surgical practice. The potential role of minimal access surgery, surgical resectional techniques, extent of lymphadenectomy and setting of specialized units and multidisciplinary team approach have stimulated an active research.
authors: General surgery Department, Princess Royal University Hospital, Farnborough Common, Orpington, London, UK. azahrahussain@yahoo.com
authors: Abdulzahra
authors: A
authors: Hussain
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D013274:Stomach Neoplasms / Q000601:surgery*