Surgery and adjuvant chemotherapy

被引:39
作者
Sasako, Mitsuru [1 ]
机构
[1] Hyogo Med Univ, Dept Upper Gastrointestinal Surg, Nishinomiya, Hyogo 6638501, Japan
关键词
gastric cancer; D2; dissection; adjuvant chemotherapy;
D O I
10.1007/s10147-008-0791-1
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
It was clearly demonstrated that good local control by either radiotherapy or D2 surgery is essential to cure gastric cancer. D2 surgery can be carried out safely with a large volume of patients and can provide better survival than limited surgery. More extended surgery than D2 cannot provide better survival and causes greater morbidity; therefore, it should not be carried out as prophylactic lymphadenectomy. The effect of adjuvant treatment depends on the type of surgery. Neoadjuvant plus post-operative triplet chemotherapy, postoperative adjuvant chemoradiotherapy, and postoperative S-1 monotherapy now are the standards of care in Europe, the United States, and Japan, respectively.
引用
收藏
页码:193 / 195
页数:3
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