Gastric Cancer Invading the Esophagus. Improved Management.

Takeda, Jinryo; Hashimoto, Ken; Koufuji, Kikuo; Tanaka, Takaho; Kodama, Issei; Ohta, Junji; Kakegawa, Teruo

doi:10.2739/kurumemedj.38.311

Cited by 1 publication

(2 citation statements)

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“…When esophageal invasion extends further than 1 cm by X-ray and/or endoscopy preoperatively, then lower esophagectomy plus TG through the left thoracoabdominal approach should be selected to achieve complete mediastinal and abdominal lymphadenectomy (Sofia et al 1990;Takeda et al . 1991).…”

Section: Discussionmentioning

confidence: 99%

“…In particular, the lymph nodes around the renal vein in No.16 were frequently involved. For an advanced cancer in C, TG should be selected because the 5-year survival rate was 60.9% following TG and was only 33.2% following proximal gastrectomy (Takeda et al 1991). The extended radical TG which involves total gastrectomy, omentoburgectomy and the complete removal of Group 1, 2 and 3 regional lymph nodes has been widely accepted as the procedure of choice for the treatment of advanced upper gastric cancer.…”

Section: Discussionmentioning

confidence: 99%

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Total Gastrectomy for Gastric Cancer: 12-Year Data and Review of the Effect of Performing Lymphadenectomy.

et al. 1994

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Summary: A total of 1,272 patients with gastric cancer were admitted to our institute for surgery during 12 years (1975)(1976)(1977)(1978)(1979)(1980)(1981)(1982)(1983)(1984)(1985)(1986). Of these, 1,059 (83.4%) underwent gastrectomy. Among these, 252 (23.8%) were total gastrectomy (TG), involving 160 (63.5%) cases of cancer mainly located in the upper third of the stomach, 81(32.1%) in the middle third and 11(4.4%) in the lower third. Radical TG was performed in 65.9% and palliative TG in 34.1%. Roux-en-Y reconstruction was selected in 80%, jejunal interposition in 17.6% and double tract in 2.4%. The survival rate was improved by introducing extended lymph node dissection, especially in the cases of stage III & IV cancer in which a combined pancreaticosplenectomy could lead to cure when associated with lymphadenectomy. In cases of a positive serosal exposure, the 5-year survival rate was increased by extended lymphadenectomy from 21% to 46% (p<0.02) . Anastomotic leakage occurred in 4.2%. The postoperative mortality rate was 1.6%, occurring in only 4 patients.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%