PMID: 11318120Apr 25, 2001Paper

Lymph node metastasis in cancer of the middle-third stomach: criteria for treatment with a pylorus-preserving gastrectomy

Surgery Today
Y KoderaT Kato

Abstract

A retrospective study was conducted to establish the criteria for performing a pylorus-preserving gastrectomy. This study was performed on 491 patients who had cancer of the middle-third stomach and had been curatively treated with a distal gastrectomy. The incidence of node metastasis for each lymph node station (the group of regional lymph nodes which have been anatomically defined and classified by the Japanese Classification of Gastric Carcinoma) was evaluated with reference to the depth of invasion, tumor size, and circumferential location, to show any significant correlations with an increase in tumor diameter or in the depth of tumor invasion. The benefits of resecting each station was then evaluated based on the incidence of metastasis to each station and the rate of long-term survivors among those with metastasis to each station. The benefit was substantial for the lymph nodes along the lesser curvature, along the right gastroepiploic artery, and at the base of the left gastric artery, while the advantages were almost negligible for the suprapyloric nodes and right paracardial nodes. In conclusion, carcinoma that fulfills either of the following conditions may thus be indicated to undergo a pylorus-preserving gastrecto...Continue Reading

Citations

May 30, 2003·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Hiroshi FurukawaYasuhiro Kodera
Oct 9, 2007·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Souya NunobeTakeshi Sano
Sep 8, 2010·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Yutaka Tanizawa, Masanori Terashima
Dec 22, 2005·International Journal of Clinical Oncology·Hitoshi Katai, Takeshi Sano
Oct 24, 2006·International Journal of Clinical Oncology·Hitoshi Katai
Dec 12, 2007·International Journal of Clinical Oncology·Souya NunobeTakeshi Sano
Aug 16, 2008·International Journal of Clinical Oncology·Shinichi KinamiZen Yoh
Jul 10, 2003·The Lancet Oncology·Takashi YokotaHidemi Yamauchi
Apr 7, 2005·Digestive Diseases·Hitoshi KataiMakoto Saka
Mar 19, 2013·Annals of Surgical Oncology·Naoki HikiXiaohua Jiang
May 17, 2014·World Journal of Gastroenterology : WJG·Abraham El-SedfyNatalie G Coburn
Feb 22, 2012·World Journal of Surgery·Chikashi ShibataUNKNOWN Society for the Study of Postoperative Morbidity After Gastrectomy
Sep 1, 2009·Journal of the American College of Surgeons·Naoki HikiToshiharu Yamaguchi
Nov 12, 2017·Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association·Haruna FurukawaNaoki Hiki
Jul 20, 2016·Journal of Gastric Cancer·Seung-Young OhHan-Kwang Yang
May 17, 2005·Journal of Surgical Oncology·Sung Hoon NohJae-Ho Cheong
Jan 27, 2016·World Journal of Gastroenterology : WJG·Taeil Son, Woo Jin Hyung
Dec 18, 2014·World Journal of Gastroenterology : WJG·Takuro SaitoYuichiro Doki
Feb 27, 2014·Asian Pacific Journal of Cancer Prevention : APJCP·Xiang-Jun ChenMin Chen

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