Open AccessImpact of the anatomical location and the number of metastatic lymph nodes on gastric cancer patient´s survival
Author(s) -
R Duchoň,
M Bernadic,
Daniel Pinďák
Publication year - 2020
Publication title -
bratislavské lekárske listy/bratislava medical journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.387
H-Index - 32
eISSN - 1336-0345
pISSN - 0006-9248
DOI - 10.4149/bll_2020_038
Subject(s) - medicine , lymphadenectomy , lymph , stage (stratigraphy) , cancer , dissection (medical) , lymph node , metastasis , proportional hazards model , gastrectomy , surgery , retrospective cohort study , adenocarcinoma , radiology , pathology , paleontology , biology
The most serious problem in surgical treatment of gastric cancer includes the area of resection and the extent of lymphadenectomy. The extent of gastric resection is determined by the extent of tumor affection. The aim of radical surgical intervention is to achieve microscopically clear resection line, since R0 resection is the main criterion for the patient´s prognosis. Curative surgical resection for gastric cancer includes the lymph nodes dissection. In the treatment of gastric cancer, there are two views on the importance of lymphadenectomy. The Far East considers that operation improves the survival and the Europe considers that surgery is not curative, but it determines the staging and prognosis. There is also a difference in staging systems. The one from East is importance based on the anatomical location of affected lymph nodes, the second from Europe is based on the number of positive lymph nodes.