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Surgical Treatment of Gastric Cancer Infiltrating the Esophago-gastric Junction

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Surgery in the Multimodal Management of Gastric Cancer

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Abstract

Tumors infiltrating the esophago-gastric junction (EGJ) are characterized by a worse prognosis than cancers of the middle and lower thirds of the stomach. The definition, classification, and treatment of these tumors have yet to be definitively standardized. Complete resection of the tumor is considered the main goal of surgery, although the best approach and the appropriate extent of surgical resection continue to be debated. This chapter discusses the extent of gastric and esophageal resection as well as that of lymph node dissection. Long-term results and the main factors affecting prognosis are presented. The limits of primary surgery are defined and the adoption of pre-operative multimodality treatments in the context of controlled clinical trials encouraged.

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Author information

Authors and Affiliations

  1. Dept. of Surgery, Upper G.I. Surgery Division, University of Verona, Verona, Italy

    Giovanni de Manzoni

Authors
  1. Giovanni de Manzoni
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  2. Andrea Zanoni
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  3. Corrado Pedrazzani
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Editor information

Editors and Affiliations

  1. Dept. of Surgery Upper G.I. Surgery Division, University of Verona, Verona, Italy

    Giovanni de Manzoni

  2. Dept. of Human Pathology and Oncology Section of General Surgery and Surgical Oncology Translational Research Laboratory, University of Siena, Siena, Italy

    Franco Roviello

  3. Surgical Clinic, Dept. of Medical and Surgical Sciences “Ospedali Riuniti” University Hospital, Polytechnic University of Marche, Ancona, Italy

    Walter Siquini

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© 2012 Springer-Verlag Italia

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de Manzoni, G., Zanoni, A., Pedrazzani, C. (2012). Surgical Treatment of Gastric Cancer Infiltrating the Esophago-gastric Junction. In: de Manzoni, G., Roviello, F., Siquini, W. (eds) Surgery in the Multimodal Management of Gastric Cancer. Springer, Milano. https://doi.org/10.1007/978-88-470-2318-5_18

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  • DOI: https://doi.org/10.1007/978-88-470-2318-5_18

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2317-8

  • Online ISBN: 978-88-470-2318-5

  • eBook Packages: MedicineMedicine (R0)

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