Optional Proposals for Testing New Telescopic Ramifications of TNM

Hermanek, P.; Henson, Donald E.; Hutter, R. V. P.; Sobin, Leslie H.

doi:10.1007/978-3-642-46792-9_5

Cited by 2 publications

(4 citation statements)

References 42 publications

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“…[14][15][16][17] The median survival time after surgical resection for cure has been shown to be significantly shorter with pT4 tumors that penetrate the visceral peritoneum compared with pT4 tumors without serosal involvement, in the presence or absence of distal metastasis. 18 Data from a recent study by Shepherd et al 17 regarding the importance of local peritoneal involvement in curative resection suggested that the prognostic power of this feature may supercede that of either local extent of tumor (T category) or regional lymph node status (N category).…”

Section: Subdivision Of the Primary Tumor Category T4 Into T4a And T4bmentioning

confidence: 99%

American Joint Committee on Cancer prognostic factors consensus conference

Compton

Fenoglio‐Preiser

Pettigrew

et al. 2000

Cancer

581

369

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Section: Subdivision Of the Primary Tumor Category T4 Into T4a And T4bmentioning

confidence: 99%

American Joint Committee on Cancer prognostic factors consensus conference

Compton

Fenoglio‐Preiser

Pettigrew

et al. 2000

Cancer

581

369

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“…There is evidence to suggest that splenectomy and distal pancreatectomy increase morbidity and mortality of gastrectomy (6,7,11–14), but we feel that removal of spleen and distal pancreas is necessary in order to remove all the lymph nodes in the splenic hilum. This in turn improves the chances of cure.…”

Section: Discussionmentioning

confidence: 96%

“…We use jejunal pouch reconstruction of stomach following total gastrectomy. With this technique, we had no anastomotic leak from oesophago‐jejunal anastomosis, whereas most studies on gastric surgery quote anastomotic leak rate of 4–15% (3,4,7,15,16).…”

Section: Discussionmentioning

confidence: 99%

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D2 gastrectomy - a safe operation in experienced hands*

Date

Panesar

2005

International Journal of Clinical Practice

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In the contemporary practice, surgery is the only potentially curative treatment available for gastric cancer. However, there is no consensus on the extent of surgical resection. Advantages of D2 gastrectomy in terms of morbidity, mortality, local recurrence and survival are confirmed in Japanese as well as some European trials. In our hospital, all patients with operable gastric cancer are treated with D2 gastrectomy along with splenectomy and distal pancreatectomy followed by jejunal pouch reconstruction. The study was undertaken to evaluate our practice in terms of postoperative morbidity and mortality. All the patients who had total gastrectomy for gastric carcinoma from January 1995 to December 2000 were included in the study. During this 6-year period, 33 patients underwent potentially curative D2 gastrectomy. Postoperative morbidity and mortality were 18 and 9%, respectively. There were no anastomotic leaks. Three (9%) patients developed dysphasia, of which two (6%) had anastomotic stricture requiring dilatation. We feel D2 gastrectomy with splenectomy and distal pancreatectomy when performed electively is a safe procedure in experienced hands. Oesophago-jejunal anastomosis can be safely performed using circular stapler.

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Optional Proposals for Testing New Telescopic Ramifications of TNM

Cited by 2 publications

References 42 publications

American Joint Committee on Cancer prognostic factors consensus conference

American Joint Committee on Cancer prognostic factors consensus conference

D2 gastrectomy - a safe operation in experienced hands*

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