Comparative studies between proximal and total gastrectomies for cardiac cancer of the stomach with special reference to long term postoperative course.

Harada, Kazunori; Misumi, Atsunobu; Misumi, Katsuki; Baba, Kenichiro; Atobe, Yasunori; Kondo, Hiroyuki; Maeno, Masanobu; Honmyo, Ubehiko; Kanemitsu, Tetsuji; Akagi, Masanobu

doi:10.5833/jjgs.20.965

Cited by 7 publications

(3 citation statements)

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“…Proximal gastrectomy was prospectively evaluated in a single-arm study at our institution, and the survival data were almost the same as those after total gastrectomy, and were satisfactory. 74 Studies have shown that improvement of postoperative absorption, 77,78 and body weight recovery are better after proximal gastrectomy than after total gastrectomy. Pylorus function is also preserved by proximal gastrectomy by preserving the vagus nerves, including the hepatic and pyloric branches, the same as in pylorus-preserving gastrectomy (PPG).…”

Section: Modified Gastrectomy For Egcmentioning

confidence: 99%

Early gastric cancer: concepts, diagnosis, and management

Katai¹,

Sano²

2005

Int J Clin Oncol

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Section: Modified Gastrectomy For Egcmentioning

confidence: 99%

Early gastric cancer: concepts, diagnosis, and management

Katai¹,

Sano²

2005

Int J Clin Oncol

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“…71 Studies have shown improvement of postoperative absorption, 74,75 and BW recovery to be better after proximal than after total gastrectomy.…”

Section: Evaluation Of Functionmentioning

confidence: 98%

Function-preserving surgery for gastric cancer

Katai¹

2006

Int J Clin Oncol

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Early gastric cancer (EGC) with 5-year survival rates exceeding 90% now accounts for nearly 50% of all gastric cancers treated at major institutions in Japan. D2 lymphadenectomy with resection of at least two-thirds of the stomach has been the mainstay of treatment for every stage of gastric cancer, including EGC. Post-gastrectomy syndrome is inevitable after surgery. Most of the symptoms resolve with time, though some patients suffer immensely for prolonged periods. Mucosal cancers rarely metastasize (3% or less). Surgeons have altered the traditional strategy for treatment which focused only on highly radical operations. The new strategy preserves patients' quality of life, while at the same time maintaining a high level of radicality, by employing a function-preserving operation which prevents post-gastrectomy syndrome. The Japanese gastric cancer treatment guidelines have standardized indications for the function-preserving surgery that is widely performed in Japan. There are various kinds of function-preserving operations, such as those reducing the extent of gastrectomy, and those providing nerve preservation, sphincter preservation, and formation of a new-stomach. Evaluation of preserved function is not satisfactory, because there is no gold standard for measuring gastrointestinal motor function and patients' quality of life.

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“…The literature reported that improved post-operative absorption [30,31] and body weight recovery is good as compared to total gastrectomy. Pylorus function is also preserved with this method by preserving vagus nerves including hepatic and pyloric branches, which is the same as pylorus-preserving gastrectomy.…”

Section: Modifi Ed Gastrectomy For Egcmentioning

confidence: 99%

Update on Surgery of Gastric Cancer: New Procedures versus Standard Technique

Katai¹,

Sano²,

Sasako³

et al. 2004

Dig Dis

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D2 lymphadenectomy has been the mainstay of treatment for every stage of gastric cancer including early gastric cancer in Japan. However, the use of conventional D2 nodal dissection is being challenged. There was a recent improvement in techniques for preoperative diagnosis and perioperative diagnosis. Less extensive surgeries to maintain patients’ quality of life have been introduced as standard treatment for some forms of early gastric cancer in the Gastric Cancer Treatment Guidelines 2001 (The Japanese Gastric Cancer Association). Superextended dissection (more than D2) for non-early gastric cancer is set at investigational treatment. Japanese surgeons are now aiming at wide variations of surgical treatment according to the stage of disease based on new procedures. Further evaluations are proceeding to prove superior to standard techniques.

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Comparative studies between proximal and total gastrectomies for cardiac cancer of the stomach with special reference to long term postoperative course.

Cited by 7 publications

References 0 publications

Early gastric cancer: concepts, diagnosis, and management

Early gastric cancer: concepts, diagnosis, and management

Function-preserving surgery for gastric cancer

Update on Surgery of Gastric Cancer: New Procedures versus Standard Technique

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