Progress of Surgical Treatment in Gastric Cancer

Hiroyoshi Suzuki

Institute of Gastroenterology, Tokyo Women's Medical University

This review describes our progress of surgical treatment in primary gastric cancer and indication of D4 dissection, which were based on our 6088 surgical experience from 1968 to 1993. Patient survival in later term was prolonged significantly than that of former term, which could be the result of increasing proportion of early cancer, surgical improvement of curability in advanced cancer, and extended lymphadenectomy. From the result of multivariant analysis between D2 and D4 dissection, D4 was considered to benefit against patient survival in mp or ss/n2, se/nl and se/n2 case. We need further prospective study to establish a certain strategies for lymph node dissection in gastric cancer.

Key words
gastric cancer, para-aortic lymphnode dissection, prognosis

Reprint requests
Hiroyoshi Suzuki Institute of Gastroenterology, Tokyo Women's Medical University
8-1 Kawada-cho, Shinjuku-ku, Tokyo, 162-8666 JAPAN

Accepted
June 10, 1998

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