Abstract:For gastric carcinomas the surgical strategy is mainly based on tumor site, tumor stage and the Lauren classification. Total gastrectomy and distal resection are adequate procedures, if they are combined with lymphadenectomy of compartments I and II. The necessity for splenectomy depends on the involvement of lymph nodes at the splenic hilum, which is largely determined by the depth of tumor invasion as well as the tumor site. For early gastric cancer restricted to the mucosa of the intestinal cell type, limit… Show more
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