Evaluation of Endoscopic Resection of Early Gastric Cancer: Surgical Standpoint of View Kunio Takagi 1 1Hayashi Surgical Hospital Keyword: 早期胃癌 , 内視鏡的切除 , 組織学的深達度診断 , 胃局所切除 pp.379-387
Published Date 1991/4/25
DOI https://doi.org/10.11477/mf.1403102506
  • Abstract
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 Based on the results of studies using the resected stomach of early gastric cancer, endoscopic resection is considered to be indicated for the cases without lymph node metastasis, m, Ul (-) early cancer, measuring about 1.0 cm Endoscopic resection in these cases is safe and yields good prognosis, thus rendering it important as a curative local therapy. As the number of cases increases, clinico-pathological discussion of early gastric cancer will have to include not only surgically treated cases but also endoscopically resected cases. For cases of early gastric cancer larger than 2-3 cm, i.e., not considered to be an indication of endoscopic resection, endoscopically resected specimen should be histologically examined regarding the depth of invasion, followed by partial gastrectomy with regional lymph node dissection. Partial gastrectomy is also indicated for the cases with residual cancer after endoscopic resection.

 Thus, endoscopic resection of early gastric cancer should play an important role not only as a curative local treatment but also as a histological examination on the depth of invasion and as a limited gastrectomy.

Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.


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