Local resection for early gastric cancer

By | April 10, 2012

As the pathology of early gastric cancer and lymph metastasis of constant depth, and through a variety of clinical studies confirmed that, for early gastric cancer, the traditional limitations of radical surgery and surgery of the effect is the same. Therefore, there is no need for a wide range of surgery, because surgical complications are possible after the patient a serious impact on the quality of life.
Local resection for early gastric cancer recurrence after gastric cancer usually occurs in the lymph nodes near the tumor bed and, in addition to gastric cancer surgery anastomosis, remnant stomach or duodenal stump after relapse are more common.Local resection for early gastric cancer recurrence No obvious symptoms, can occur in advanced tumor, obstruction, weight loss, anemia, ascites and other signs, with advanced gastric cancer.
Based on the above, the development of gastric cancer treatment can vary the appropriate treatment. A large number of clinical and pathological data clearly point out that there lymph node metastasis in early gastric cancer is very low, so there is no need for removal of traditional large-scale, a variety of localized or early gastric reduction surgery is a reasonable choice.Local resection for gastric cancer should be regularly followed up. Recent resection of gastric dyspepsia, upper abdominal pain, vomiting or even vomiting blood, black stools are the recent state of health was impaired, postoperative residual increase of upper gastrointestinal symptoms, shall be the line x ray double contrast examination and gastroscopy Check.
In general there are two broad categories.
1. Radical excision of endoscopic mucosal resection endoscopic indications is cancer of the stomach mucosa. Selection criteria should be strictly limited to well-differentiated or superficial protruding type early cancer, about 1 cm in diameter, no more than 2 cm. The technology is actually in endoscopic lesions with the help of local excision, the technical requirements for the operator is relatively high, the removal of the scope is too small, there may be residual disease, and resection is too deep may cause perforation. If the experienced doctors to operate in mastering the premise of strict indication, treatment of early gastric cancer is a safe and reliable method.
2. Early gastric reduction surgery is currently the treatment of cancer, more and more about individual treatment. For these patients, standard gastric cancer surgery is clearly a radical increase in suspected cases can be reduced such surgery, surgery can be a pylorus-preserving local excision of early gastric cancer, to retain the greater omentum and lesser sac of the distal resection , gastric surgery die shape, distal and proximal gastrectomy half half gastrectomy and so on.

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