Surgical Considerations in the Management of Gastric Adenocarcinoma SURGICAL CLINICS OF NORTH AMERICA Makris, E. A., Poultsides, G. A. 2017; 97 (2): 295-?

Abstract

Since Theodor Billroth and César Roux perfected the methods of postgastrectomy reconstruction in as early as the late nineteenth century, surgical management of gastric cancer has made incremental progress. The longstanding and contentious debate on the optimal extent of lymph node dissection for gastric cancer seems to have settled in favor of D2 dissection. Pylorus-preserving distal (central) gastrectomy has emerged as a less invasive, function-preserving option for T1N0 middle-third gastric cancers. Frozen section analysis of margins seems partially helpful in this direction. Last, the role of palliative gastrectomy in patients with metastatic seems less important than initially thought.

View details for DOI 10.1016/j.suc.2016.11.006

View details for Web of Science ID 000399266300006

View details for PubMedID 28325188