Slovenská chirurgia 1/2012

Surgical treatment of gastric cancer

The most serious problem in surgical treatment of gastric cancer include extent of resection and extent of lymphadenectomy. Extent of gastric resection determines the extent of tumor affection. The aim of radical surgical intervention is to achieve microscopically clear resection line since R0 resection is the main criterium for the prognosis of the patient. Curative surgical resection for gastric cancer is including lymph node dissection. In the treatment of gastric cancer are two views on the importance of lymphadenectomy. The Far East is considered a performance with therapeutic potential, in Europe is considered for the performance of designated staging and prognosis, but its implementation will not affect the prognosis, it is also a difference in the staging system. East based on the anatomical location of metastatic lymph nodes, in Europe the number of positive lymph nodes.

Keywords: gastric cancer, gastrectomy, lymphadenectomy, staging, prognosis.