East Versus West: Differences in Surgical Management in Asia Compared with Europe and North America.
In recent decades, there has been considerable worldwide progress in the treatment of gastric cancer. Gastrectomy with a modified D2 lymphadenectomy (sparing the distal pancreas and spleen) has increasingly gained acceptance as a preferable standard surgical approach among surgeons in the East and the West. Despite growing consensus significant differences still exist in surgical techniques in clinical trials and clinical practices secondary to variations in epidemiology, clinicopathologic features, and surgical outcomes among geographic regions. In addition, Western physicians tend to prefer adjuvant chemotherapy and radiotherapy after surgery instead of using S-1 chemotherapy, as is the preference in the East.
Department of Digestive Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan. Electronic address: tommy@med.kawasaki-m.ac.jp.
Tomio
T
Ueno
Department of Gastroentelogical, Breast and Endocrine Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-kogushi, Yamaguchi 755-8505, Japan.
Michihisa
M
Iida
Department of Gastroentelogical, Breast and Endocrine Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-kogushi, Yamaguchi 755-8505, Japan.
Shigefumi
S
Yoshino
Department of Gastroentelogical, Breast and Endocrine Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-kogushi, Yamaguchi 755-8505, Japan.
Shigeru
S
Takeda
Department of Digestive Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan.
Hisako
H
Kubota
Department of Digestive Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan.
Masaharu
M
Higashida
Department of Digestive Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan.
Yasuo
Y
Oka
Department of Digestive Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan.
Atushi
A
Tsuruta
Department of Digestive Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama 701-0192, Japan.
Hideo
H
Matsumoto
Department of Gastroentelogical, Breast and Endocrine Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-kogushi, Yamaguchi 755-8505, Japan.
Hiroaki
H
Nagano
D005060:Europe; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007564:Japan; D008197:Lymph Node Excision / Q000379:methods; D008207:Lymphatic Metastasis; D020360:Neoadjuvant Therapy; D009656:North America; D017410:Practice Guidelines as Topic; D013274:Stomach Neoplasms / Q000188:drug therapy / Q000532:radiotherapy / Q000601:surgery*
Adjuvant therapy; D2 lymph node dissection; Gastric cancer; Surgical management