Surgical Principles for Early and Advanced Gastric Cancer
The IASGO Textbook of Multi-Disciplinary Management to Upper Gastrointestinal Diseases, Springer Nature, ss.179-183, 2026
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/978-981-96-1297-0_25
- Yayınevi: Springer Nature
- Sayfa Sayıları: ss.179-183
- Anahtar Kelimeler: Endoscopic submucosal dissection, Gastric cancer, Lymph node, Surgery
- Karadeniz Teknik Üniversitesi Adresli: Evet
Özet
Gastric cancer is one of the most fatal cancers in the world. The depth of submucosal invasion is the most important predictive factor in determining lymph node risk before treatment. Endoscopic ultrasound and cross-sectional imaging may be helpful for this. Endoscopic submucosal dissection is an endoscopic resection method primarily recommended by the guidelines, facilitating en bloc resection compared with endoscopic mucosal resection, thereby allowing accurate histopathological evaluation, especially in early gastric cancer larger than 20 mm. While perioperative treatments improve patient survival, surgery is the cornerstone of treatment. Surgery and lymphadenectomy may change according to the tumor location. D2 lymph node dissection improves patient survival.