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Function-preserving surgery for gastric cancer

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Abstract

Early gastric cancer (EGC) with 5-year survival rates exceeding 90% now accounts for nearly 50% of all gastric cancers treated at major institutions in Japan. D2 lymphadenectomy with resection of at least two-thirds of the stomach has been the mainstay of treatment for every stage of gastric cancer, including EGC. Post-gastrectomy syndrome is inevitable after surgery. Most of the symptoms resolve with time, though some patients suffer immensely for prolonged periods. Mucosal cancers rarely metastasize (3% or less). Surgeons have altered the traditional strategy for treatment which focused only on highly radical operations. The new strategy preserves patients' quality of life, while at the same time maintaining a high level of radicality, by employing a function-preserving operation which prevents post-gastrectomy syndrome. The Japanese gastric cancer treatment guidelines have standardized indications for the function-preserving surgery that is widely performed in Japan. There are various kinds of function-preserving operations, such as those reducing the extent of gastrectomy, and those providing nerve preservation, sphincter preservation, and formation of a neostomach. Evaluation of preserved function is not satisfactory, because there is no gold standard for measuring gastrointestinal motor function and patients' quality of life.

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References

  1. InstitutionalAuthorNameThe Research Group for Population-Based Cancer Registration in Japan (1999) Cancer incidence in Japan S Tominaga (Eds) Cancer mortality and morbidity statistics Japan and the World Japan Scientific Societies Tokyo 83–144

    Google Scholar 

  2. K Yasuda N Shiraishi T Suematsu (1999) ArticleTitleRate of detection of lymph node metastasis is correlated with the depth of submucosal invasion in early stage gastric carcinoma Cancer 85 2119–2123 Occurrence Handle10326688 Occurrence Handle1:STN:280:DyaK1M3ls1Khsg%3D%3D Occurrence Handle10.1002/(SICI)1097-0142(19990515)85:10<2119::AID-CNCR4>3.0.CO;2-M

    Article  PubMed  CAS  Google Scholar 

  3. FJ Oliveira H Ferrao E Furtado et al. (1988) ArticleTitleEarly gastric cancer: report of 58 cases Gastric Cancer 1 51–56 Occurrence Handle10.1007/s101200050054

    Article  Google Scholar 

  4. H Katai K Yoshimura K Maruyama et al. (2000) ArticleTitleEvaluation of the new International Union against Cancer TNM staging for gastric carcinoma Cancer 88 1796–1800 Occurrence Handle10760754 Occurrence Handle1:STN:280:DC%2BD3c3isFGqsg%3D%3D Occurrence Handle10.1002/(SICI)1097-0142(20000415)88:8<1796::AID-CNCR6>3.0.CO;2-2

    Article  PubMed  CAS  Google Scholar 

  5. K Sawai T Takahashi H Suzuki (1994) ArticleTitleNew trends in surgery for gastric cancer in Japan J Surg Oncol 56 221–226 Occurrence Handle8057646 Occurrence Handle1:STN:280:DyaK2czjsFaqtQ%3D%3D

    PubMed  CAS  Google Scholar 

  6. K Maruyama K Okabayashi T Kinoshita (1987) ArticleTitleProgress in gastric cancer surgery in Japan and its limits of radicality World J Surg 11 418–425 Occurrence Handle3630186 Occurrence Handle1:STN:280:DyaL2szitFChug%3D%3D Occurrence Handle10.1007/BF01655804

    Article  PubMed  CAS  Google Scholar 

  7. JJ Bonenkamp J Hermans M Sasako et al. (1999) ArticleTitleExtended lymph-node dissection for gastric cancer. Dutch Gastric Cancer Group N Engl J Med 340 908–914 Occurrence Handle10089184 Occurrence Handle1:STN:280:DyaK1M7ntlertQ%3D%3D Occurrence Handle10.1056/NEJM199903253401202

    Article  PubMed  CAS  Google Scholar 

  8. A Cuschieri S Weeden J Fielding et al. (1999) ArticleTitlePatient survival after D1 and D2 resections for gastric cancer: long-term results of the MRC randomized surgical trial. Surgical Cooperative Group Br J Cancer 79 1522–1530 Occurrence Handle10188901 Occurrence Handle1:STN:280:DyaK1M3gt1Ortg%3D%3D Occurrence Handle10.1038/sj.bjc.6690243

    Article  PubMed  CAS  Google Scholar 

  9. HM Sue-Ling I Martin J Griffith et al. (1992) ArticleTitleEarly gastric cancer: 46 cases treated in one surgical department Gut 33 1318–1322 Occurrence Handle1446852 Occurrence Handle1:STN:280:DyaK3s%2FnslSrsQ%3D%3D

    PubMed  CAS  Google Scholar 

  10. N Hayes D Karat DJ Scott et al. (1996) ArticleTitleRadical lymphadenectomy in the management of early gastric cancer Br J Surg 83 1421–1423 Occurrence Handle8944462 Occurrence Handle1:STN:280:DyaK2s%2FpvFyqsQ%3D%3D

    PubMed  CAS  Google Scholar 

  11. JL Whiting WL Fielding (1998) ArticleTitleRadical surgery for early gastric cancer Eur J Surg Oncol 24 263–266 Occurrence Handle9724989 Occurrence Handle1:STN:280:DyaK1czpt1ajsw%3D%3D Occurrence Handle10.1016/S0748-7983(98)80002-4

    Article  PubMed  CAS  Google Scholar 

  12. T Michiura Y Nakane T Kanbara et al. (2006) ArticleTitleAssessment of the Preserved Function of the remnant stomach in pylorus-preserving gastrectomy by gastric emptying scintigraphy World J Surg 30 1277–1283 Occurrence Handle16794905 Occurrence Handle10.1007/s00268-005-7983-x

    Article  PubMed  Google Scholar 

  13. T Hausken S Odegaard A Berstad (1991) ArticleTitleAntroduodenal motility studied by real-time ultrasonography. Effect of enprostil Gastroenterology 100 59–63 Occurrence Handle1898497 Occurrence Handle1:CAS:528:DyaK3MXlsFGqsg%3D%3D

    PubMed  CAS  Google Scholar 

  14. P Kunz GR Crelier W Schwizer et al. (1998) ArticleTitleGastric emptying and motility: assessment with MR imaging–preliminary observations Radiology 207 33–40 Occurrence Handle9530296 Occurrence Handle1:STN:280:DyaK1c7ptFeksA%3D%3D

    PubMed  CAS  Google Scholar 

  15. T Urushihara K Sumimoto K Shimokado et al. (2004) ArticleTitleGastric motility after laparoscopically assisted distal gastrectomy, with or without preservation of the pylorus, for early gastric cancer, as assessed by digital dynamic X-ray imaging Surg Endosc 18 964–968 Occurrence Handle15095077 Occurrence Handle1:STN:280:DC%2BD2c3ntFWntw%3D%3D Occurrence Handle10.1007/s00464-003-8192-z

    Article  PubMed  CAS  Google Scholar 

  16. RC Heading J Nimmo LF Prescott et al. (1973) ArticleTitleThe dependence of paracetamol absorption on the rate of gasatric emptying Br J Pharmacol 47 415–421 Occurrence Handle4722050 Occurrence Handle1:STN:280:DyaE3s3ivVajtg%3D%3D

    PubMed  CAS  Google Scholar 

  17. B Hauser J De Schepper V Caveliers et al. (2006) ArticleTitleVariability of the 13C-acetate breath test for gastric emptying of liquids in healthy children J Pediatr Gastroenterol Nutr 42 392–397 Occurrence Handle16641577 Occurrence Handle1:STN:280:DC%2BD283osFygug%3D%3D Occurrence Handle10.1097/01.mpg.0000215306.40546.17

    Article  PubMed  CAS  Google Scholar 

  18. HP Parkman AD Harris B Krevsky et al. (1995) ArticleTitleGastroduodenal motility and dysmotility: an update on techniques available for evaluation Am J Gastroenterol 90 869–892 Occurrence Handle7771415 Occurrence Handle1:STN:280:DyaK2M3ovFehug%3D%3D

    PubMed  CAS  Google Scholar 

  19. D Armstrong JR Bennett AL Blum et al. (1996) ArticleTitleThe endoscopic assessment of esophagitis: a progress report on observer agreement Gastroenterology 111 85–92 Occurrence Handle8698230 Occurrence Handle1:STN:280:DyaK28zhsFGnug%3D%3D Occurrence Handle10.1053/gast.1996.v111.pm8698230

    Article  PubMed  CAS  Google Scholar 

  20. Japanese Society of Esophageal Disease: Diagnostic classification of reflux esophagitis. Tokyo, Kanehara, 1978

  21. M Kubo M Sasako T Gotoda et al. (2002) ArticleTitleEndoscopic evaluation of the remnant stomach after gastrectomy: proposal for a new classification Gastric Cancer 5 83–89 Occurrence Handle12111583 Occurrence Handle10.1007/s101200200014

    Article  PubMed  Google Scholar 

  22. AH Visick (1948) ArticleTitleMeasured radical gastrectomy. Review of 505 operations for peptic ulcer Lancet I 505–510

    Google Scholar 

  23. V Crooks S Waller et al. (1991) ArticleTitleThe use of the Karnofsky Performance Scale in determining outcomes and risk in geriatric outpatients J Gerontol 46 139–144

    Google Scholar 

  24. WO Spitzer AJ Dobson J Hall et al. (1981) ArticleTitleMeasuring the quality of life of cancer patients. A concise QL-Index for use by physicians J Chronic Dis 34 585–597 Occurrence Handle7309824 Occurrence Handle1:STN:280:DyaL38%2Fns1Slug%3D%3D Occurrence Handle10.1016/0021-9681(81)90058-8

    Article  PubMed  CAS  Google Scholar 

  25. NK Aaronson S Ahmedzai B Bergman et al. (1993) ArticleTitleThe European Organization for Research and Treatment of Cancer QLQ-C30: a quality-of-life instrument for use in international clinical trials in oncology J Natl Cancer Inst 85 365–376 Occurrence Handle8433390 Occurrence Handle1:STN:280:DyaK3s7msVarsQ%3D%3D

    PubMed  CAS  Google Scholar 

  26. H Troidl J Kusche K Vestweber et al. (1987) ArticleTitlePouch versus esophagojejunostomy after total gastrectyomy: a randomized clinical trial World J Surg 11 669–712 Occurrence Handle10.1007/BF01656592

    Article  Google Scholar 

  27. D Korenaga H Orita T Okuyama et al. (1992) ArticleTitleQuality of life after gastectomy in patients with carcinoma of the stomach Br J Surg 79 248–250 Occurrence Handle1555093 Occurrence Handle1:STN:280:DyaK383gvVOhsA%3D%3D

    PubMed  CAS  Google Scholar 

  28. CW Vickery JM Blazeby T Conroy et al. (2001) ArticleTitleDevelopment of an EORTC disease-specific quality of life module for use in patients with gastric cancer Eur J Cancer 37 966–971 Occurrence Handle11334720 Occurrence Handle1:STN:280:DC%2BD3M3jvFKqtg%3D%3D Occurrence Handle10.1016/S0959-8049(00)00417-2

    Article  PubMed  CAS  Google Scholar 

  29. CA Pellegrini TR Demeester JA Wernly et al. (1978) ArticleTitleAlkaline gastroesophageal reflux Am J Surg 135 177–184 Occurrence Handle24352 Occurrence Handle1:STN:280:DyaE1c7itFKitA%3D%3D Occurrence Handle10.1016/0002-9610(78)90093-4

    Article  PubMed  CAS  Google Scholar 

  30. LF Johnson TR Demeester RC Haggitt (1978) ArticleTitleEsophageal epithelial response to gastroesophageal reflux. A quantitative study Am J Dig Dis 23 498–509 Occurrence Handle27983 Occurrence Handle1:STN:280:DyaE1c3jt1Kjuw%3D%3D Occurrence Handle10.1007/BF01072693

    Article  PubMed  CAS  Google Scholar 

  31. H Sigstad (1970) ArticleTitleA clinical diagnostic index in the diagnosis of the dumping syndrome. Change in plasma volume and blood sugar after a test meal Acta Med Scand 188 479–486 Occurrence Handle5507449 Occurrence Handle1:STN:280:DyaE3M%2FosVOrtw%3D%3D Occurrence Handle10.1111/j.0954-6820.1970.tb08072.x

    Article  PubMed  CAS  Google Scholar 

  32. T Nakajima (2002) ArticleTitleGastric cancer treatment guideline in Japan Gastric Cancer 5 1–5 Occurrence Handle12021853 Occurrence Handle10.1007/s101200200000

    Article  PubMed  Google Scholar 

  33. InstitutionalAuthorNameJapanese Gastric Cancer Association (1998) ArticleTitleJapanese classification of gastric carcinoma 2nd English edition Gastric Cancer 1 10–24 Occurrence Handle11957040 Occurrence Handle10.1007/PL00011681

    Article  PubMed  Google Scholar 

  34. BG Wilbur KA Kelly CF Code (1974) ArticleTitleEffect of gastric fundectomy on canine gastric electrical and motor activity Am J Physiol 226 1445–1449 Occurrence Handle4834000 Occurrence Handle1:STN:280:DyaE2c3lvF2rtg%3D%3D

    PubMed  CAS  Google Scholar 

  35. SQ Yi F Ru T Ohta et al. (2006) ArticleTitleSurgical anatomy of the innervation of pylorus in human and Suncus murinus, in relation to surgical technique for pylorus-preserving pancreaticoduodenectomy World J Gastroenterol 12 2209–2216 Occurrence Handle16610023

    PubMed  Google Scholar 

  36. I Nordback E Harju (1991) ArticleTitleImmediate effect of vagotomy on pancreatic insulin secretion Gut 32 303–305 Occurrence Handle2013425 Occurrence Handle1:STN:280:DyaK3M7pt1KltQ%3D%3D

    PubMed  CAS  Google Scholar 

  37. CJ Hunt (1952) ArticleTitleConstruction of food pouch from segment of jejunum as substitute for stomach in total gastrectomy Arch Surg 64 601–608 Occurrence Handle1:STN:280:DyaG38%2FltlWqsg%3D%3D

    CAS  Google Scholar 

  38. W Lawrence SuffixJr (1962) ArticleTitleReservoir construction after total gastrectomy Ann Surg 155 191–198 Occurrence Handle14463011

    PubMed  Google Scholar 

  39. D Sharma (2004) ArticleTitleChoice of digestive tract reconstructive procedure following total gastrectomy: a critical reappraisal Indian J Surg 66 270–276

    Google Scholar 

  40. B Hoksch B Ablassmaier J Zieren et al. (2002) ArticleTitleQuality of life after gastrectomy: Longmire's reconstruction alone compared with additional pouch reconstruction World J Surg 26 335–341 Occurrence Handle11865371 Occurrence Handle10.1007/s00268-001-0229-7

    Article  PubMed  Google Scholar 

  41. B Liedman I Bosaeus I Hugosson et al. (1998) ArticleTitleLong-term beneficial effects of a gastric reservoir on weight control after total gastrectomy: a study of potential mechanisms Br J Surg 85 542–547 Occurrence Handle9607544 Occurrence Handle1:STN:280:DyaK1c3mvVGlsg%3D%3D Occurrence Handle10.1046/j.1365-2168.1998.00747.x

    Article  PubMed  CAS  Google Scholar 

  42. K Miyoshi S Fuchimoto T Ohsaki et al. (2001) ArticleTitleLong-term effects of jejunal pouch added to Roux-en-Y reconstruction after total gastrectomy Gastric Cancer 4 156–161 Occurrence Handle11760082 Occurrence Handle1:STN:280:DC%2BD38%2Fjt1Wjtw%3D%3D Occurrence Handle10.1007/PL00011739

    Article  PubMed  CAS  Google Scholar 

  43. T Tanaka Y Fujiwara K Nakagawa et al. (1997) ArticleTitleReflux esophagitis after total gastrectomy with jejunal pouch reconstruction: comparison of long and short pouches Am J Gastroenterol 92 821–824 Occurrence Handle9149193 Occurrence Handle1:STN:280:DyaK2s3ptlWnsg%3D%3D

    PubMed  CAS  Google Scholar 

  44. T Tanaka M Kusunoki Y Fujiwara et al. (1997) ArticleTitleJejunal pouch length influences metabolism after total gastrectomy Hepatogastroenterology 44 891–896 Occurrence Handle9222710 Occurrence Handle1:STN:280:DyaK2szmsFyrsQ%3D%3D

    PubMed  CAS  Google Scholar 

  45. S Ohwada T Ogawa S Nakamura et al. (1999) ArticleTitleLeft colon substitution with His’ angle following total gastectomy. Surgical technique using stapling devices Dis Surg 16 12–15 Occurrence Handle1:STN:280:DyaK1M7js1Wgtg%3D%3D Occurrence Handle10.1159/000018687

    Article  CAS  Google Scholar 

  46. T Sakamoto M Fujimaki K Tazawa (1997) ArticleTitleIleocolon interposition as a substitute stomach after total or proximal gastrectomy Ann Surg 226 139–145 Occurrence Handle9296506 Occurrence Handle1:STN:280:DyaK2svktFSlug%3D%3D Occurrence Handle10.1097/00000658-199708000-00004

    Article  PubMed  CAS  Google Scholar 

  47. J Metzger LP Degen C Beglinger et al. (2002) ArticleTitleIleocecal valve as substitute for the missing pyloric sphincter after partial distal gastrectomy Ann Surg 236 28–36 Occurrence Handle12131082 Occurrence Handle10.1097/00000658-200207000-00006

    Article  PubMed  Google Scholar 

  48. T Hirai S Saeki K Matsuki et al. (1995) ArticleTitlePreservation of the lower esophageal sphincter during total gastrectomy for gastric cancer to prevent postoperative reflux esophagitis Surg Today 25 507–514 Occurrence Handle7579957 Occurrence Handle1:STN:280:DyaK28%2Fot12lsw%3D%3D Occurrence Handle10.1007/BF00311306

    Article  PubMed  CAS  Google Scholar 

  49. T Yamao K Shirao H Ono et al. (1996) ArticleTitleRisk factors for lymph node metastasis from intramucosal gastric carcinoma Cancer 77 602–606 Occurrence Handle8616749 Occurrence Handle1:STN:280:DyaK287os1ynsw%3D%3D Occurrence Handle10.1002/(SICI)1097-0142(19960215)77:4<602::AID-CNCR3>3.0.CO;2-I

    Article  PubMed  CAS  Google Scholar 

  50. T Gotoda A Yanagisawa M Sasako et al. (2000) ArticleTitleIncidence of lymph node metastasis from early gastric cancer; estimation with a large number of cases at two large centers Gastric Cancer 3 219–225 Occurrence Handle11984739 Occurrence Handle10.1007/PL00011720

    Article  PubMed  Google Scholar 

  51. T Sano O Kobori T Muto (1992) ArticleTitleLymph node metastasis from early gastric cancer: endoscopic resection of tumour Br J Surg 79 241–244 Occurrence Handle1313325 Occurrence Handle1:STN:280:DyaK383gvVOhsg%3D%3D

    PubMed  CAS  Google Scholar 

  52. H Tajiri Y Oguro Nd Contact (1978) YAG Iaser treatment of gastrointestinal cancer SN Joffee Y Oguro (Eds) Advances in Nd: YAG Iaser surgery Springer New York Berlin Heidelberg Tokyo 74–78

    Google Scholar 

  53. M Tada M Karita H Yanai et al. (1988) ArticleTitleEndoscopic therapy of early gastric cancer by strip biopsy Jpn J Cancer Chemother Gan To Kagaku Ryoho 15 1460–1465 Occurrence Handle1:STN:280:DyaL1c3ltFSmtg%3D%3D

    CAS  Google Scholar 

  54. H Makuuchi Y Kise H Shirnada et al. (1999) ArticleTitleEndoscopic mucosal resection for early gastric cancer Semin Surg Oncol 17 108–116 Occurrence Handle10449682 Occurrence Handle1:STN:280:DyaK1MzotVKnsw%3D%3D Occurrence Handle10.1002/(SICI)1098-2388(199909)17:2<108::AID-SSU5>3.0.CO;2-8

    Article  PubMed  CAS  Google Scholar 

  55. T Nakajima T Ochiai M Ogawa et al. (1999) ArticleTitleMeeting report of the 7lst Japanese Gastric Cancer Congress Gastric Cancer 2 145–150 Occurrence Handle11957088 Occurrence Handle10.1007/s101200050038

    Article  PubMed  Google Scholar 

  56. K Takeshita M Tani H Inoue et al. (1997) ArticleTitleA new method of endoscopic mucosal resection of neoplastic lesions in the stomach: its technical features and results Hepatogastroenterology 44 602–611

    Google Scholar 

  57. T Gotoda H Kondoh H Ono et al. (1999) ArticleTitleA new endoscopic mucosal resection procedure using insulated tipped diathermic knife for rectal lesions Gastrointest Endosc 51 560–963 Occurrence Handle10.1016/S0016-5107(99)70084-2

    Article  Google Scholar 

  58. N Yahagi M Fujishiro N Kakushima et al. (2004) ArticleTitleEndoscopic submucosal dissection for early gastric cancer using the tip of an electrosurgical snare (thin type) Dig Endosc 16 34–38 Occurrence Handle10.1111/j.1443-1661.2004.00313.x

    Article  Google Scholar 

  59. S Yoshida (1997) Endoscopic treatment T Sugimura M Sasako (Eds) Gastric cancer Oxford University Press Oxford 252–262

    Google Scholar 

  60. K Takeshita M Tani T Honda (1997) ArticleTitleTreatment of primary multiple early gastric cancer: from the viewpoint of clinicopathologic features World J Surg 21 832–836 Occurrence Handle9327674 Occurrence Handle1:STN:280:DyaK2svmvVGrtQ%3D%3D Occurrence Handle10.1007/s002689900313

    Article  PubMed  CAS  Google Scholar 

  61. T Etoh H Katai T Fukagawa et al. (2005) ArticleTitleTreatment of early gastric cancer in the elderly patient: results of EMR and gastrectomy at a national referral center in Japan Gastrointest Endosc 62 868–871 Occurrence Handle16301028 Occurrence Handle10.1016/j.gie.2005.09.012

    Article  PubMed  Google Scholar 

  62. T Maki T Shiratori T Hatafuku et al. (1967) ArticleTitlePylorus-preserving gastrectomy as an improved operation for gastric ulcer Surgery 61 838–845 Occurrence Handle5338114 Occurrence Handle1:STN:280:DyaF2s7msFSitg%3D%3D

    PubMed  CAS  Google Scholar 

  63. M Kodama K Koyama T Chida et al. (1995) ArticleTitleEarly postoperative evaluation of pylorus-preserving gastrectomy for gastric cancer World J Surg 19 456–461 Occurrence Handle7639006 Occurrence Handle1:STN:280:DyaK2Mzms1aitA%3D%3D Occurrence Handle10.1007/BF00299190

    Article  PubMed  CAS  Google Scholar 

  64. K Sawai T Takahashi T Fujioka et al. (1995) ArticleTitlePylorus-preserving gastrectomy with radical lymph node dissection based on anatomical variations of the intrapyloric artery Am J Surg 170 285–288 Occurrence Handle7661298 Occurrence Handle1:STN:280:DyaK2MzptVertQ%3D%3D

    PubMed  CAS  Google Scholar 

  65. H Isozaki K Okajima E Momura et al. (1996) ArticleTitlePostoperative evaluation of pylorus-preserving gastrectomy for early gastric cancer Br J Surg 83 266–269 Occurrence Handle8689185 Occurrence Handle1:STN:280:DyaK283ks12rtQ%3D%3D Occurrence Handle10.1046/j.1365-2168.1996.02093.x

    Article  PubMed  CAS  Google Scholar 

  66. M Kodama K Koyama (1991) ArticleTitleIndications for pylorus preserving gastrectomy for early gastric cancer located in the middle third of the stomach World J Surg 15 628–634 Occurrence Handle1949863 Occurrence Handle1:STN:280:DyaK38%2Fls1ygsg%3D%3D Occurrence Handle10.1007/BF01789211

    Article  PubMed  CAS  Google Scholar 

  67. Y Kodera Y Yamamura Y Kanemitsu et al. (2001) ArticleTitleLymph node metastasis in cancer of the middle-third stomach: criteria for treatment with a pylorus-preserving gastrectomy Surg Today 31 196–203 Occurrence Handle11318120 Occurrence Handle1:STN:280:DC%2BD3MvjsV2jtA%3D%3D Occurrence Handle10.1007/s005950170168

    Article  PubMed  CAS  Google Scholar 

  68. Y Nakane T Michiura K Inoue et al. (2002) ArticleTitleLength of the antral segment in pylorus-preserving gastrectomy Br J Surg 89 220–224 Occurrence Handle11856138 Occurrence Handle1:STN:280:DC%2BD387isV2iug%3D%3D

    PubMed  CAS  Google Scholar 

  69. Y Nakane K Akehira K Inoue et al. (2000) ArticleTitlePostoperative evaluation of pylorus-preserving gastrectomy for early gastric cancer Hepatogastroenterology 47 590–595 Occurrence Handle10791245 Occurrence Handle1:STN:280:DC%2BD3c3ltFynsw%3D%3D

    PubMed  CAS  Google Scholar 

  70. E Nomura H Isozaki K Fujii et al. (2003) ArticleTitlePostoperative evaluation of function-preserving gastrectomy for early gastric cancer Hepatogastroenterology 50 2246–2250 Occurrence Handle14696509

    PubMed  Google Scholar 

  71. H Katai T Sano T Fukagawa et al. (2003) ArticleTitleProspective study of proximal gastrectomy for early gastric cancer in the upper third of the stomach Br J Surg 90 850–853 Occurrence Handle12854112 Occurrence Handle1:STN:280:DC%2BD3szitlGqsw%3D%3D Occurrence Handle10.1002/bjs.4106

    Article  PubMed  CAS  Google Scholar 

  72. H Furukawa M Hiratsuka S Imaoka (1998) ArticleTitleLimited surgery for early gastric cancer In cardia Ann Surg Oncol 5 338–341 Occurrence Handle9641455 Occurrence Handle1:STN:280:DyaK1czgtlWmtQ%3D%3D Occurrence Handle10.1007/BF02303497

    Article  PubMed  CAS  Google Scholar 

  73. K Takeshita N Saito I Saeki (1997) ArticleTitleProximal gastrectomy and jejunal pouch interposition for the treatment of early cancer in the upper third of the stomach: surgical techniques and evaluation of postoperative function Surgery 121 278–286 Occurrence Handle9092128 Occurrence Handle1:STN:280:DyaK2s3ks1ChsQ%3D%3D Occurrence Handle10.1016/S0039-6060(97)90356-1

    Article  PubMed  CAS  Google Scholar 

  74. K Harada A Misumi K Misumi et al. (1987) ArticleTitleComparative studies between proximal and total gastrectomies for cardiac cancer of the stomach with special reference to long term postoperative course Jpn J Surg Gastroenterol 20 965–969

    Google Scholar 

  75. K Mizumoto T Furumoto K Nosaka et al. (1987) ArticleTitleSignificance of proximal gastrectomy for carcinoma of the upper portion of the stomach, with special reference to operative curability and postoperative gastrointestinal hormones Jpn J Surg Gastroenterol 20 970–974

    Google Scholar 

  76. T Sato J Kameyama I Sasaki M Imamura (1980) ArticleTitlePost-gastrectomy symptoms: Studies for various types of gastrectomy based on postoperative complaints Gastroenterol Surg 3 1663–1669

    Google Scholar 

  77. T Matsushiro T Hariu H Nagashima et al. (1986) ArticleTitleValvuloplasty plus fundoplasty to prevent esophageal regurgitation in esophagogastrostomy after proximal gastrectomy Am J Surg 152 314–319 Occurrence Handle3752383 Occurrence Handle1:STN:280:DyaL28zitVOruw%3D%3D Occurrence Handle10.1016/0002-9610(86)90265-5

    Article  PubMed  CAS  Google Scholar 

  78. KA Merendino DH Dillard (1955) ArticleTitleThe concept of sphincteric substutution by an Interposed jejunal segment for anatomic and physiologic abnormalities at the esophagogastric junction Ann Surg 142 486–509 Occurrence Handle13249345 Occurrence Handle1:STN:280:DyaG28%2FgtFWgug%3D%3D Occurrence Handle10.1097/00000658-195509000-00015

    Article  PubMed  CAS  Google Scholar 

  79. T Hoshikawa R Denno H Ura et al. (2001) ArticleTitleProximal gastrectomy and jejunal pouch interposition: Evaluation of postoperative symptoms and gastrointestinal hormone secretion Oncol Rep 8 1293–1299 Occurrence Handle11605052 Occurrence Handle1:STN:280:DC%2BD3MrlvVeisg%3D%3D

    PubMed  CAS  Google Scholar 

  80. H Furukawa M Hiratsuka S Imaoka (1999) ArticleTitlePhase II study of limited surgery for early gastric cancer: segmental gastric resection Ann Surg Oncol 6 166–170 Occurrence Handle10082042 Occurrence Handle1:STN:280:DyaK1M7otVSkuw%3D%3D Occurrence Handle10.1007/s10434-999-0166-5

    Article  PubMed  CAS  Google Scholar 

  81. S Ohwada S Nakamura T Ogawa et al. (1991) ArticleTitleSegmental gastrectomy for early cancer in the mid-stomach Hepatogastroenterology 46 1229–1233

    Google Scholar 

  82. Y Seto H Nagawa Y Muto et al. (1999) ArticleTitlePreliminary report on local resection with lymphadenectomy for early gastric cancer Br J Surg 86 526–528 Occurrence Handle10215830 Occurrence Handle1:STN:280:DyaK1M3jtlOktw%3D%3D Occurrence Handle10.1046/j.1365-2168.1999.01069.x

    Article  PubMed  CAS  Google Scholar 

  83. H Isozaki T Kimura N Tanaka et al. (2004) ArticleTitleEsophagus Gastrointestinal Surgical Treatment Study. An assessment of the feasibility of sentinel lymph node-guided surgery for gastric cancer Gastric Cancer 7 149–153 Occurrence Handle15449202 Occurrence Handle10.1007/s10120-004-0283-6

    Article  PubMed  Google Scholar 

  84. Y Kitagawa H Fujii M Mukai et al. (2002) ArticleTitleRadio-guided sentinel node detection for gastric cancer Br J Surg 89 604–608 Occurrence Handle11972551 Occurrence Handle1:STN:280:DC%2BD383jsFehtQ%3D%3D Occurrence Handle10.1046/j.1365-2168.2002.02065.x

    Article  PubMed  CAS  Google Scholar 

  85. M Ohgami Y Otani K Kumai et al. (1999) ArticleTitleCurative laparoscopic surgery for early gastric cancer: Five years experience World J Surg 23 187–192 Occurrence Handle9880430 Occurrence Handle1:STN:280:DyaK1M%2FpslWmsw%3D%3D Occurrence Handle10.1007/PL00013167

    Article  PubMed  CAS  Google Scholar 

  86. S Ohashi (1995) ArticleTitleLaparoscopic intraluminal (intragastric) surgery for early gastric cancer Surg Endosc 9 169–171 Occurrence Handle7597587 Occurrence Handle1:STN:280:DyaK2MzitVOntQ%3D%3D Occurrence Handle10.1007/BF00191960

    Article  PubMed  CAS  Google Scholar 

  87. S Kitano Y Iso M Moriyama et al. (1994) ArticleTitleLaparoscopy-assisted Billroth I gastrectomy Surg Laparosc Endosc 4 146–148 Occurrence Handle8180768 Occurrence Handle1:STN:280:DyaK2c3js1egug%3D%3D

    PubMed  CAS  Google Scholar 

  88. P Goh CK Kum (1993) ArticleTitleLaparoscopic Billroth II gastrectomy: a review Surg Oncol 2 IssueIDSuppl 1 13–18 Occurrence Handle8252217 Occurrence Handle10.1016/0960-7404(93)90053-2

    Article  PubMed  Google Scholar 

  89. I Uyama A Sugioka J Fujita et al. (1999) ArticleTitleCompletely laparoscopic extraperigastric lymph node dissection for gastric malignancies located in the middle or lower third of the stomach Gastric Cancer 2 186–190 Occurrence Handle11957094 Occurrence Handle10.1007/s101200050044

    Article  PubMed  Google Scholar 

  90. S Kitano T Bandoh K Kawano (2001) ArticleTitleEndoscopic surgery in Japan Min Invas Ther Allied Technol 10 215–219 Occurrence Handle10.1080/136457001753334620

    Article  Google Scholar 

  91. S Kitano N Shiraishi (2004) ArticleTitleCurrent status of laparoscopic gastrectomy for cancer in Japan Surg Endosc 18 182–185 Occurrence Handle14691704 Occurrence Handle1:STN:280:DC%2BD2c7kvFemtQ%3D%3D Occurrence Handle10.1007/s00464-003-8820-7

    Article  PubMed  CAS  Google Scholar 

  92. Y Adachi T Suematsu N Shiraishi (1999) ArticleTitleQuality of life after laparoscopy-assisted Billroth I gastrectomy Ann Surg 229 49–54 Occurrence Handle9923799 Occurrence Handle1:STN:280:DyaK1M7itVKktg%3D%3D Occurrence Handle10.1097/00000658-199901000-00006

    Article  PubMed  CAS  Google Scholar 

  93. S Kitano N Shiraishi K Fujii et al. (2002) ArticleTitleA randomized controlled trial comparing an open versus a laparoscopy-assisted distal gastrectomy for the treatment of early gastric cancer: an interim report Surgery 131 S306–311 Occurrence Handle11821829 Occurrence Handle10.1067/msy.2002.120115

    Article  PubMed  Google Scholar 

  94. M Hiratsuka I Miyashiro O Ishikawa et al. (2001) ArticleTitleApplication of sentinel node biopsy to gastric cancer surgery Surgery 129 335–340 Occurrence Handle11231462 Occurrence Handle1:STN:280:DC%2BD3M7mt1yisQ%3D%3D Occurrence Handle10.1067/msy.2001.111699

    Article  PubMed  CAS  Google Scholar 

  95. Y Kitagawa H Fujii M Mukai et al. (2000) ArticleTitleThe role of the sentinel lymph node in gastrointestinal cancer Surg Clin North Am 80 1799–1809 Occurrence Handle11140874 Occurrence Handle1:STN:280:DC%2BD3M%2FoslSgug%3D%3D Occurrence Handle10.1016/S0039-6109(05)70262-0

    Article  PubMed  CAS  Google Scholar 

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  1. Department of Surgical Oncology, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104-0045, Japan

    Hitoshi Katai

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  1. Hitoshi Katai
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Correspondence to Hitoshi Katai.

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Katai, H. Function-preserving surgery for gastric cancer. Int J Clin Oncol 11, 357–366 (2006). https://doi.org/10.1007/s10147-006-0613-2

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  • DOI: https://doi.org/10.1007/s10147-006-0613-2

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