| Theme |
Significance, Problems, and Future Prospect of the Gastric Cancer Treatment Guideline |
| Title |
Modified Gastrectomy for Early Gastric Cancer |
| Author |
Toshiya Ogawa |
Department of Surgery 1, National Defense Medical College |
| Author |
Takashi Ichikura |
Department of Surgery 1, National Defense Medical College |
| Author |
Hidetaka Mochizuki |
Department of Surgery 1, National Defense Medical College |
| [ Summary ] |
In the JGCA gastric cancer treatment guidelines, modified gastrectomy is classified by the lymph node dissection level. Limited lymph nodes dissection makes it possible to reduce the size of stomach resection and to preserve autonomic nerves. These procedures improve the quality of life as compared to conventional lymph nodes dissection. Currently, indications for modified gastrectomy are decided on according to clinicopathological findings (depth of invasion, size and histological type), as well as surgical findings. If sentinel node navigation surgery, which may assesslymph node metastatic status, is feasible, modified gastrectomy will be indicated in more patients with early gastric cancer. |