[Surgical treatment of early stomach cancer]

Data from our own clinical experience as well as overview articles from Japan show an 80%-100% 5-year survival rate for early gastric cancer. An indispensable prerequisite is a resection depending on the type, size and infiltration. For the submucosal type, which shows lymph node metastasis in 10%-25%, the appropriate surgical therapy is resection of the stomach or total gastrectomy with systemic lymphadenectomy of compartments I and II. Distinct types of mucosal carcinoma (small size) may be suitable for local therapy, particularly in high-risk patients.