[Rational modified radical operation in early gastric cancer]

Extended dissection of regional lymph nodes, omentobursectomy, splenectomy and thoracotomy, which are performed on cases with advanced gastric cancer, are not necessary in radical operation for early gastric cancer, for the early cancer was revealed to have the metastasis to lymph node of slight degree and no metastasis to the peritoneum. This modified operation can provide us a decrease of either intraoperative blood loss or operation time, which seems to contribute to diminish the operative death and to improve the quality of postoperative life. The result was satisfactory: 5-year relative survival rate after the operation was 100.0%. Diagnostic accuracy for early cancer was also sufficient.