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Gastric Cancer
Published in: Gastric Cancer 2/2015

01-04-2015 | Review Article

A new stage of sentinel node navigation surgery in early gastric cancer

Authors: Takashi Fujimura, Sachio Fushida, Tomoya Tsukada, Jun Kinoshita, Katsunobu Oyama, Tomoharu Miyashita, Hiroyuki Takamura, Shinichi Kinami, Tetsuo Ohta

Published in: Gastric Cancer | Issue 2/2015

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Abstract

Sentinel node (SN) navigation surgery is expected to realize organ- and function-preserving surgery with SN mapping, and has been applied in operations for breast cancer and melanoma. But there has been no definite evidence for the SN concept in gastric cancer. A prospective multicenter trial to confirm the SN concept for gastric cancer conducted by the Japan Society of Sentinel Node Navigation Surgery reported that the SN detection rate, sensitivity of positive SNs, and accuracy of nodal status are 97.5 % (387/397), 93 % (53/57), and 99 % (383/387), respectively. A detailed analysis of the trial suggested that strictly the “lymphatic basin concept” rather than the “SN concept” was confirmed in early gastric cancer. The Japan Society of Sentinel Node Navigation Surgery started a new trial of function-preserving gastrectomy with lymphatic basin dissection (LBD) for early gastric cancer without metastasis in SNs on the basis of this promising outcome of the trial. It is supposed that LBD guarantees curability in SN navigation surgery for early gastric cancer. Full-thickness resection or endoscopic submucosal dissection in combination with laparoscopic LBD will soon be a new treatment option for early gastric cancer.
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Metadata
Title
A new stage of sentinel node navigation surgery in early gastric cancer
Authors
Takashi Fujimura
Sachio Fushida
Tomoya Tsukada
Jun Kinoshita
Katsunobu Oyama
Tomoharu Miyashita
Hiroyuki Takamura
Shinichi Kinami
Tetsuo Ohta
Publication date
01-04-2015
Publisher
Springer Japan
Published in
Gastric Cancer / Issue 2/2015
Print ISSN: 1436-3291
Electronic ISSN: 1436-3305
DOI
https://doi.org/10.1007/s10120-014-0446-z

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