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[Early gastric cancer: our experience]
S Gangi1, M P Costanzo, U Prosperini
1Cattedra di Chirurgia d'Urgenza e Pronto Soccorso II, Ospedale Vittorio Emanuele, Catania.
Annali Italiani Di Chirurgia
|May 1, 1996
Summary
This study evaluated surgical outcomes for early gastric cancer (EGC) in 19 patients over 5 years. Surgical approaches, including resection and gastrectomy based on tumor location, achieved successful outcomes for curable EGC.
Area of Science:
- Gastroenterology
- Surgical Oncology
- Oncology
Background:
- Early gastric cancer (EGC) represents an initial, often curable, stage of gastric malignancy.
- Effective surgical management is crucial for favorable patient outcomes in EGC.
Purpose of the Study:
- To assess the 5-year outcomes of surgical treatments for early gastric cancer.
- To correlate surgical techniques with tumor location and patient results.
Main Methods:
- Retrospective analysis of 19 consecutive EGC patients.
- Surgical interventions included gastric resection, subtotal gastrectomy, and total gastrectomy with Roux's reconstruction.
- Follow-up involved annual gastroscopy, hepatic echography, and CT scans for suspicious findings.
Main Results:
- All 19 patients completed the 5-year follow-up period.
- Surgical approaches were tailored to the specific location and extent of EGC.
- Limited lymphadenectomy of perigastric lymph nodes was performed in all cases.
Conclusions:
- Surgical treatment of EGC, guided by neoplasm location, yields positive outcomes.
- Gastric resection, subtotal gastrectomy, and total gastrectomy are effective EGC treatment modalities.
- Limited perigastric lymphadenectomy is a recommended surgical component for EGC.