Endoscopic resection and salvage surgery for early gastric cancer
10.19538/j.cjps.issn1005-2208.2019.05.14
- Author:
Zi-yu LI
1
;
Yin-kui WANG
1
Author Information
1. Key Laboratory of Carcinogenesis and Translational Research Ministry of Education Department of Gastrointestinal Surgery, Peking University Cancer Hospital & Institute Beijing 100142, China
- Publication Type:Journal Article
- Keywords:
early gastric cancer;
endoscopic therapy;
non-curative resection;
salvage surgery
- From:
Chinese Journal of Practical Surgery
2019;39(05):462-467
- CountryChina
- Language:Chinese
-
Abstract:
Endoscopic resection(ER) is playing an increasingly important role in treatment of gastric cancer. However,many patients received endoscopic resection turned out to be non-curative. Thus, the following treatment after ER is worthy of discussion. Reviewing the recomandations of guidelines published by European Society for Medical Oncology(ESMO), National Comprehensive Cancer Network(NCCN) and Japanese Gastric Cancer Association(JGCA) and relevant articles, and also retrospectively analysis of cases in our center. In conclusion, for patients of eCura-C, surgery is recommended after considering relevant risks. Gastrectomy type and lymph node dissection range may refer to those for early gastric cancer.Further research is needed to predict lymph node metastasis more accurately. With the development of minimal invasive surgery, sentinel node navigation surgery and laparoscopic and endoscopic cooperative surgery will gain more and more attention.
