Surgical Treatment of Scirrhous Gastric Cancer Masayuki Isozaki 1 , Souya Nunobe 1 , Rie Makuuchi 1 , Satoshi Ida 1 , Koshi Kumagai 1 , Manabu Ohashi 1 1Department of Surgery, Gastroenterology Center, Cancer Institute Hospital of Japanese Foundation for Cancer Research, Tokyo Keyword: スキルス胃癌 , 臨床試験 , 胃全摘 , D2リンパ節郭清 , 集学的治療 pp.820-827
Published Date 2020/5/25
DOI https://doi.org/10.11477/mf.1403202056
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 The scope of gastrectomy and lymphadenectomy has increased for advanced gastric cancer including scirrhous gastric cancer in the past. Then, many important clinical trials have been performed, and D2 gastrectomy without pancreatosplenectomy is recommended for advanced gastric cancer. Due to the characteristics of scirrhous gastric cancer, the surgical procedure often used is D2 total gastrectomy with splenectomy. Recently, successful evidence of survival benefit of adjuvant or neoadjuvant therapy has been shown, and surgeons are now expected to perform safe and sufficient gastrectomy while being aware of their role in multidisciplinary therapy.

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