Total Gastrectomy



Although the incidence of gastric cancer is decreasing, radical distal gastrectomy and total gastrectomy are still occasionally performed. The appropriate extent of nodal dissection has been debated, but recent trials have shown better local tumor control (but no survival benefit) when D2 nodal dissection is performed with gastrectomy. In this chapter together with Chap. 37, the technique and pitfalls of total gastrectomy with D2 nodal dissection procedure are reviewed.


Catheter Carbohydrate Adenocarcinoma Gastritis Esophagitis 

Further Reading

  1. Hoshi H. Standard D2 and modified nodal dissection for gastric adenocarcinoma. Surg Oncol Clin N Am. 2012;21:57–70.PubMedCrossRefGoogle Scholar
  2. Japanese Gastric Cancer Association. Japanese classification of gastric carcinoma: 3rd English edition. Gastric Cancer. 2011;14:101–12.CrossRefGoogle Scholar
  3. Japanese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2010 (ver.3). Gastric Cancer. 2011;14:113–23.CrossRefGoogle Scholar
  4. Majrtin II RC, Jaques DP, Brennan MF, Karpeh M. Extended local resection for gastric cancer: increased survival versus increased morbidity. Ann Surg. 2002;236(2):159–65.CrossRefGoogle Scholar
  5. Sasako M. D2 nodal dissection. Oper Tech Gen Surg. 2003;5(1):36–49.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Surgery, Surgical Oncology and Endocrine SurgeryUniversity of IowaIowa CityUSA

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