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Titolo:
Is lymphadenectomy needed for all submucosal gastric cancers
Autore:
Yamada, H; Nihei, Z; Yamashita, T; Shirota, Y; Ichikawa, W; Sugihara, K;
Indirizzi:
Tokyo Med & Dent Univ, Dept Surg 2, Bunkyo Ku, Tokyo 1138519, Japan Tokyo Med & Dent Univ Tokyo Japan 1138519 unkyo Ku, Tokyo 1138519, Japan
Titolo Testata:
EUROPEAN JOURNAL OF SURGERY
fascicolo: 3, volume: 167, anno: 2001,
pagine: 199 - 203
SICI:
1102-4151(200103)167:3<199:ILNFAS>2.0.ZU;2-N
Fonte:
ISI
Lingua:
ENG
Soggetto:
LYMPH-NODE METASTASIS; FOLLOW-UP; CARCINOMA; RESECTION; INVASION; SURGERY; STOMACH;
Keywords:
gastric cancer; submucosal cancer; endoscopic mucosal resection; laparoscopic surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
25
Recensione:
Indirizzi per estratti:
Indirizzo: Nihei, Z Tokyo Med & Dent Univ, Dept Surg 2, Bunkyo Ku, 1-5-45 Yushima, Tokyo 1138519, Japan Tokyo Med & Dent Univ 1-5-45 Yushima Tokyo Japan 1138519 , Japan
Citazione:
H. Yamada et al., "Is lymphadenectomy needed for all submucosal gastric cancers", EURO J SURG, 167(3), 2001, pp. 199-203

Abstract

Objective: To find out if it is feasible to extend the indication for local resection of submucosal gastric cancer without increasing the risk of lymph node metastases. Design: Retrospective study. Setting: University hospital, Japan. Subjects: 104 patients with gastric cancer confined to the submucosal layer who underwent conventional gastrectomy with lymphadenectomy. Interventions: The risk of nodal metastases was analysed retrospectively depending on the depth of submucosal invasion, size of the tumour, and otherclinicopathological findings. Main outcome measures: The degree of submucosal invasion, size of the tumour, and incidence of lymph node metastasis. Results: 15/104 patients (14%) had lymph node metastases. No patient in whom submucosal invasion was less than 500 mum or tumour was less than 15mm in diameter developed lymph node metastases. Fewer patients had lymphatic permeation (37/89) and venous involvement (21/89) in the group without lymph node metastases. Conclusion: These data seem to support the hypothesis that early, minimally invasive, gastric cancer measuring <15 mm in diameter could be treated byendoscopic mucosal or local resection, and gastrectomy with lymphadenectomy might be unnecessary.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 31/05/20 alle ore 13:28:56