Surgical Considerations in the Management of Gastric Adenocarcinoma.
Surg Clin North Am
; 97(2): 295-316, 2017 Apr.
Article
em En
| MEDLINE
| ID: mdl-28325188
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.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Neoplasias Gástricas
/
Adenocarcinoma
/
Gastrectomia
Limite:
Humans
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article