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Libri Oncologici : Croatian Journal of Oncology, Vol. 34 No. 1-3, 2006.

Original scientific paper

Surgical treatment of gastric cancer

Mate Škegro ; Department for Abdominal Surgery and Transplantation of Abdominal Organs, Department of Surgery, UMC Zagreb - Rebro, Zagreb University Medical School, Zagreb, Croatia
Ognjan Deban ; Department for Abdominal Surgery and Transplantation of Abdominal Organs, Department of Surgery, UMC Zagreb - Rebro, Zagreb University Medical School, Zagreb, Croatia
Tomislav Baotić ; Department for Abdominal Surgery and Transplantation of Abdominal Organs, Department of Surgery, UMC Zagreb - Rebro, Zagreb University Medical School, Zagreb, Croatia
Hrvoje Silovski ; Department for Abdominal Surgery and Transplantation of Abdominal Organs, Department of Surgery, UMC Zagreb - Rebro, Zagreb University Medical School, Zagreb, Croatia

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Abstract

Gastric cancer remains one of the commonest causes of cancer death worldwide. According to Croatian Cancer Registry, 1282 new patients with gastric cancer were reported in year 2003 in Croatia. Radical surgical resection is the only potentialy curable method of treatment of these patients. Since lymph node metastases occur during the early stages of disease, regional lymphadenectomy is recommended as a part of radical gastrectomy but there is no worldwide consensus about the extent of the lymphadenectomy needed to achive optimal results. Japanese surgeons first introduced radical D2 lymphadenectomy with distal splenopancreatectomy and achieved impressive long term survival results using this method. No western randomized trial showed better survival results after D2 lymphadenectomy compared to D1, but patients after D2 had significantly higher postoperative mortality and morbidity. European authors showed improved survival rates without increase in morbidity and mortality in patients treated by modified D2 operation – D2 extent lymphadenectomy without pancreaticosplenectomy. Our aim in this paper is to give a review of current surgical therapy of gastric cancer and to show postoperative results in patients operated for gastric cancer in our surgical department from year 2001 to 2005.

Keywords

gastric cancer; surgical treatment; lymphadenectomy

Hrčak ID:

281486

URI

https://hrcak.srce.hr/281486

Publication date:

7.12.2006.

Article data in other languages: croatian

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