Indications for Pylorus Preserving Gastrectomy for Early Gastric Cancer
Clinicopathological evaluation of lymph node metastasis was undertaken to determine the indications for pylorus preserving gastrectomy for patients with early gastric cancer. Lymph node involvement was investigated in 583 patients with early gastric cancer located in the lower and middle third of th...
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| Veröffentlicht in: | Nippon Shokaki Geka Gakkai zasshi 1995, Vol.28(12), pp.2248-2255 |
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| container_issue | 12 |
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| container_title | Nippon Shokaki Geka Gakkai zasshi |
| container_volume | 28 |
| creator | Imada, Toshio Takehana, Toshitaka Rino, Yasushi Suzuki, Makoto Takahashi, Makoto Chinn, Cheo Noguchi, Yoshikazu Yamamoto, Yuji Amano, Tomishige Matsumoto, Akihiko Kobayashi, Osamu Sairenji, Motonori Motohashi, Hisahiko |
| description | Clinicopathological evaluation of lymph node metastasis was undertaken to determine the indications for pylorus preserving gastrectomy for patients with early gastric cancer. Lymph node involvement was investigated in 583 patients with early gastric cancer located in the lower and middle third of the stomach who had undergone conventional gastrectomy with D2 lymph node dissection. It is essential that this limited operation is performed in cases without metastasis to the right pericardiac and suprapyloric lymph nodes. By analysis of the relationship between lymph node metastasis and histologic type, macroscopic type, tumor size, or depth of invasion, the indications for pylorus preserving gastrectomy were determined to be as follows: (1) cases with mucosal cancer and submucosal cancer smaller than 30 mm when the histologic type is differentiated.(2) cases with mucosal cancer smaller than 30mm and submucosal cancer smaller than 10 mm when the histologic type is undifferentiated and the macroscopic type is depressed. |
| doi_str_mv | 10.5833/jjgs.28.2248 |
| format | Article |
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Lymph node involvement was investigated in 583 patients with early gastric cancer located in the lower and middle third of the stomach who had undergone conventional gastrectomy with D2 lymph node dissection. It is essential that this limited operation is performed in cases without metastasis to the right pericardiac and suprapyloric lymph nodes. By analysis of the relationship between lymph node metastasis and histologic type, macroscopic type, tumor size, or depth of invasion, the indications for pylorus preserving gastrectomy were determined to be as follows: (1) cases with mucosal cancer and submucosal cancer smaller than 30 mm when the histologic type is differentiated.(2) cases with mucosal cancer smaller than 30mm and submucosal cancer smaller than 10 mm when the histologic type is undifferentiated and the macroscopic type is depressed.</description><identifier>ISSN: 0386-9768</identifier><identifier>EISSN: 1348-9372</identifier><identifier>DOI: 10.5833/jjgs.28.2248</identifier><language>eng ; jpn</language><publisher>The Japanese Society of Gastroenterological Surgery</publisher><subject>lymph node metastasis for early gastric cancer ; pylorus preserving gastrectomy</subject><ispartof>The Japanese Journal of Gastroenterological Surgery, 1995, Vol.28(12), pp.2248-2255</ispartof><rights>The Japanese Society of Gastroenterological Surg</rights><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3098-903be648f944b044ff10df2f38df503a1c9e625b433551f2c3b2812b273a8ea33</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,1877,4010,27900,27901,27902</link.rule.ids></links><search><creatorcontrib>Imada, Toshio</creatorcontrib><creatorcontrib>Takehana, Toshitaka</creatorcontrib><creatorcontrib>Rino, Yasushi</creatorcontrib><creatorcontrib>Suzuki, Makoto</creatorcontrib><creatorcontrib>Takahashi, Makoto</creatorcontrib><creatorcontrib>Chinn, Cheo</creatorcontrib><creatorcontrib>Noguchi, Yoshikazu</creatorcontrib><creatorcontrib>Yamamoto, Yuji</creatorcontrib><creatorcontrib>Amano, Tomishige</creatorcontrib><creatorcontrib>Matsumoto, Akihiko</creatorcontrib><creatorcontrib>Kobayashi, Osamu</creatorcontrib><creatorcontrib>Sairenji, Motonori</creatorcontrib><creatorcontrib>Motohashi, Hisahiko</creatorcontrib><title>Indications for Pylorus Preserving Gastrectomy for Early Gastric Cancer</title><title>Nippon Shokaki Geka Gakkai zasshi</title><addtitle>Jpn J Gastroenterol Surg</addtitle><description>Clinicopathological evaluation of lymph node metastasis was undertaken to determine the indications for pylorus preserving gastrectomy for patients with early gastric cancer. Lymph node involvement was investigated in 583 patients with early gastric cancer located in the lower and middle third of the stomach who had undergone conventional gastrectomy with D2 lymph node dissection. It is essential that this limited operation is performed in cases without metastasis to the right pericardiac and suprapyloric lymph nodes. By analysis of the relationship between lymph node metastasis and histologic type, macroscopic type, tumor size, or depth of invasion, the indications for pylorus preserving gastrectomy were determined to be as follows: (1) cases with mucosal cancer and submucosal cancer smaller than 30 mm when the histologic type is differentiated.(2) cases with mucosal cancer smaller than 30mm and submucosal cancer smaller than 10 mm when the histologic type is undifferentiated and the macroscopic type is depressed.</description><subject>lymph node metastasis for early gastric cancer</subject><subject>pylorus preserving gastrectomy</subject><issn>0386-9768</issn><issn>1348-9372</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><recordid>eNo9kFFLwzAQx4MoOObe_AD9ALYmubRNHmXMOhi4B30OaZbMjK6VSxX67W23uZc77vj9j-NHyCOjWS4Bng-Hfcy4zDgX8obMGAiZKij5LZlRkEWqykLek0WMoaY0l-U4sxmp1u0uWNOHro2J7zDZDk2HPzHZoosOf0O7TyoTe3S2747DCVkZbIbzNthkaVrr8IHcedNEt7j0Ofl8XX0s39LNe7VevmxSC1SND1GoXSGkV0LUVAjvGd157kHufE7BMKtcwfNaAOQ589xCzSXjNS_BSGcA5uTpfNdiFyM6r78xHA0OmlE9edCTB82lnjyMeHXGD7E3e3eFDfbBNu4EM1WoKcD4fx2TV8J-GdSuhT8ZSGoT</recordid><startdate>1995</startdate><enddate>1995</enddate><creator>Imada, Toshio</creator><creator>Takehana, Toshitaka</creator><creator>Rino, Yasushi</creator><creator>Suzuki, Makoto</creator><creator>Takahashi, Makoto</creator><creator>Chinn, Cheo</creator><creator>Noguchi, Yoshikazu</creator><creator>Yamamoto, Yuji</creator><creator>Amano, Tomishige</creator><creator>Matsumoto, Akihiko</creator><creator>Kobayashi, Osamu</creator><creator>Sairenji, Motonori</creator><creator>Motohashi, Hisahiko</creator><general>The Japanese Society of Gastroenterological Surgery</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>1995</creationdate><title>Indications for Pylorus Preserving Gastrectomy for Early Gastric Cancer</title><author>Imada, Toshio ; Takehana, Toshitaka ; Rino, Yasushi ; Suzuki, Makoto ; Takahashi, Makoto ; Chinn, Cheo ; Noguchi, Yoshikazu ; Yamamoto, Yuji ; Amano, Tomishige ; Matsumoto, Akihiko ; Kobayashi, Osamu ; Sairenji, Motonori ; Motohashi, Hisahiko</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3098-903be648f944b044ff10df2f38df503a1c9e625b433551f2c3b2812b273a8ea33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng ; jpn</language><creationdate>1995</creationdate><topic>lymph node metastasis for early gastric cancer</topic><topic>pylorus preserving gastrectomy</topic><toplevel>online_resources</toplevel><creatorcontrib>Imada, Toshio</creatorcontrib><creatorcontrib>Takehana, Toshitaka</creatorcontrib><creatorcontrib>Rino, Yasushi</creatorcontrib><creatorcontrib>Suzuki, Makoto</creatorcontrib><creatorcontrib>Takahashi, Makoto</creatorcontrib><creatorcontrib>Chinn, Cheo</creatorcontrib><creatorcontrib>Noguchi, Yoshikazu</creatorcontrib><creatorcontrib>Yamamoto, Yuji</creatorcontrib><creatorcontrib>Amano, Tomishige</creatorcontrib><creatorcontrib>Matsumoto, Akihiko</creatorcontrib><creatorcontrib>Kobayashi, Osamu</creatorcontrib><creatorcontrib>Sairenji, Motonori</creatorcontrib><creatorcontrib>Motohashi, Hisahiko</creatorcontrib><collection>CrossRef</collection><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Imada, Toshio</au><au>Takehana, Toshitaka</au><au>Rino, Yasushi</au><au>Suzuki, Makoto</au><au>Takahashi, Makoto</au><au>Chinn, Cheo</au><au>Noguchi, Yoshikazu</au><au>Yamamoto, Yuji</au><au>Amano, Tomishige</au><au>Matsumoto, Akihiko</au><au>Kobayashi, Osamu</au><au>Sairenji, Motonori</au><au>Motohashi, Hisahiko</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Indications for Pylorus Preserving Gastrectomy for Early Gastric Cancer</atitle><jtitle>Nippon Shokaki Geka Gakkai zasshi</jtitle><addtitle>Jpn J Gastroenterol Surg</addtitle><date>1995</date><risdate>1995</risdate><volume>28</volume><issue>12</issue><spage>2248</spage><epage>2255</epage><pages>2248-2255</pages><issn>0386-9768</issn><eissn>1348-9372</eissn><abstract>Clinicopathological evaluation of lymph node metastasis was undertaken to determine the indications for pylorus preserving gastrectomy for patients with early gastric cancer. Lymph node involvement was investigated in 583 patients with early gastric cancer located in the lower and middle third of the stomach who had undergone conventional gastrectomy with D2 lymph node dissection. It is essential that this limited operation is performed in cases without metastasis to the right pericardiac and suprapyloric lymph nodes. By analysis of the relationship between lymph node metastasis and histologic type, macroscopic type, tumor size, or depth of invasion, the indications for pylorus preserving gastrectomy were determined to be as follows: (1) cases with mucosal cancer and submucosal cancer smaller than 30 mm when the histologic type is differentiated.(2) cases with mucosal cancer smaller than 30mm and submucosal cancer smaller than 10 mm when the histologic type is undifferentiated and the macroscopic type is depressed.</abstract><pub>The Japanese Society of Gastroenterological Surgery</pub><doi>10.5833/jjgs.28.2248</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | The Japanese Journal of Gastroenterological Surgery, 1995, Vol.28(12), pp.2248-2255 |
| issn | 0386-9768 1348-9372 |
| language | eng ; jpn |
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| source | J-STAGE Free; Freely Accessible Japanese Titles; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | lymph node metastasis for early gastric cancer pylorus preserving gastrectomy |
| title | Indications for Pylorus Preserving Gastrectomy for Early Gastric Cancer |
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