title: Surgical management of gastric cancer: the East vs. West perspective.
abstract: Gastric cancer is a unique malignancy, with definite geographic differences in incidence, pathology, treatment and outcome. While the incidence has been declining in the Western hemisphere, steady rates have been reported in Eastern countries, particularly South Korea and Japan. One of the most profound differences between the East and West centers around treatment strategies, with Western clinicians routinely adopting a neoadjuvant approach, prior to surgical resection. Eastern clinicians, however, favor primary surgical therapy and have pioneered many of the techniques currently used worldwide. From endoscopic therapies to minimally-invasive surgery, including laparoscopic and robotic techniques, the Eastern surgeons have studied their techniques with high-volumes of patients. Western surgeons, practicing in systems where gastric cancer care is not centralized, typically have performed less aggressive surgical resections, although generally see more advanced diseases. In the era where global care is becoming more standardized, however, the differences in surgical practice have lessened. This review compares the surgical techniques and outcomes for gastric cancer practiced in the East with those standard in the West.
authors: 1 Department of Surgery, Division of Surgical Oncology, University of California, Irvine Medical Center, Orange, CA, USA ; 2 Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL, USA ; 3 Department of Surgical Oncology, Division of Liver, Pancreas and Foregut Tumors, Penn State Hershey Medical Center, Hershey, PA, USA.
authors: Maki
authors: M
authors: Yamamoto
authors: 1 Department of Surgery, Division of Surgical Oncology, University of California, Irvine Medical Center, Orange, CA, USA ; 2 Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL, USA ; 3 Department of Surgical Oncology, Division of Liver, Pancreas and Foregut Tumors, Penn State Hershey Medical Center, Hershey, PA, USA.
authors: Omar M
authors: OM
authors: Rashid
authors: 1 Department of Surgery, Division of Surgical Oncology, University of California, Irvine Medical Center, Orange, CA, USA ; 2 Department of Gastrointestinal Oncology, Moffitt Cancer Center, Tampa, FL, USA ; 3 Department of Surgical Oncology, Division of Liver, Pancreas and Foregut Tumors, Penn State Hershey Medical Center, Hershey, PA, USA.
authors: Joyce
authors: J
authors: Wong
keywords: East; Gastric cancer; West; surgery
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