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Annals of Surgical Oncology
Published in: Annals of Surgical Oncology 2/2014

01-02-2014 | Gastrointestinal Oncology

Is Pylorus-preserving Gastrectomy Universally Applicable to Early Gastric Cancer of the Mid Stomach?

Authors: Hiroya Takeuchi, MD, PhD, FACS, Yuko Kitagawa, MD, PhD, FACS

Published in: Annals of Surgical Oncology | Issue 2/2014

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Excerpt

Recent advances in endoscopic diagnosis have allowed gastric cancer to be diagnosed early, often in asymptomatic patients.1 Currently, endoscopic mucosal resection and endoscopic submucosal dissection are accepted as the least invasive procedures when managing early gastric cancer (cT1).1 An important intermediate option before open gastrectomy is laparoscopic gastrectomy.2 …
Literature
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Sano T, Hollowood K. Early gastric cancer: diagnosis and less invasive treatments. Scand J Surg. 2006;95:249–55.PubMed
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Kitano S, Iso Y, Moriyama M, et al. Laparoscopy-assisted Billroth I gastrectomy. Surg Laparosc Endosc. 1994;4:146–8.PubMed
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Kim YW, Baik YH, Yun YH, et al. Improved quality of life outcomes after laparoscopy-assisted distal gastrectomy for early gastric cancer: results of a prospective randomized clinical trial. Ann Surg. 2008;248:721–7.PubMedCrossRef
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Nunobe S, Sasako M, Saka M, Fukagawa T, Katai H, Sano T. Symptom evaluation of long-term postoperative outcomes after pylorus-preserving gastrectomy for early gastric cancer. Gastric Cancer. 2007;10:167–72.PubMedCrossRef
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Jiang X, Hiki N, Nunobe S, et al. Postoperative outcomes and complications after laparoscopy-assisted pylorus-preserving gastrectomy for early gastric cancer. Ann Surg. 2011;253:928–33.PubMedCrossRef
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Morita S, Katai H, Saka M, Fukagawa T, Sano T, Sasako M. Outcome of pylorus-preserving gastrectomy for early gastric cancer. Br J Surg. 2008;95:1131–5.PubMedCrossRef
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Jiang X, Hiki N, Nunobe S, et al. Long-term outcome and survival with laparoscopy-assisted pylorus-preserving gastrectomy for early gastric cancer. Surg Endosc. 2011;25:1182–6.PubMedCrossRef
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Kong SH, Kim JW, Lee HJ, Kim WH, Lee KU, Yang HK. The safety of the dissection of lymph node stations 5 and 6 in pylorus-preserving gastrectomy. Ann Surg Oncol. 2009;16:3252–8.PubMedCrossRef
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Ikeguchi M, Hatada T, Yamamoto M, et al. Evaluation of a pylorus-preserving gastrectomy for patients preoperatively diagnosed with early gastric cancer located in the middle third of the stomach. Surg Today. 2010;40:228–33.PubMedCrossRef
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Kim BH, Hong SW, Kim JW, Choi SH, Yoon SO. Oncologic safety of pylorus-preserving gastrectomy in the aspect of micrometastasis in lymph nodes at stations 5 and 6. Ann Surg Oncol. 2013. doi:10.​1245/​s10434-013-3252-7.
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Arigami T, Uenosono Y, Yanagita S, et al. Clinical significance of lymph node micrometastasis in gastric cancer. Ann Surg Oncol. 2013;20:515–21.PubMedCrossRef
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Yanagita S, Natsugoe S, Uenosono Y, et al. Sentinel node micrometastases have high proliferative potential in gastric cancer. J Surg Res. 2008;145:238–43.PubMedCrossRef
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Yonemura Y, Endo Y, Hayashi I, Kawamura T, Yun HY, Bandou E. Proliferative activity of micrometastases in the lymph nodes of patients with gastric cancer. Br J Surg. 2007;94:731–6.PubMedCrossRef
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Kitagawa Y, Takeuchi H, Takagi Y, et al. Sentinel node mapping for gastric cancer: a prospective multicenter trial in Japan. J Clin Oncol. 2013;31:3704–10.PubMedCrossRef
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Takeuchi H and Kitagawa Y. New sentinel node mapping technologies for early gastric cancer. Ann Surg Oncol. 2013;20:522–32.PubMedCrossRef
Metadata
Title
Is Pylorus-preserving Gastrectomy Universally Applicable to Early Gastric Cancer of the Mid Stomach?
Authors
Hiroya Takeuchi, MD, PhD, FACS
Yuko Kitagawa, MD, PhD, FACS
Publication date
01-02-2014
Publisher
Springer US
Published in
Annals of Surgical Oncology / Issue 2/2014
Print ISSN: 1068-9265
Electronic ISSN: 1534-4681
DOI
https://doi.org/10.1245/s10434-013-3256-3

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