Chirurgická terapie
Chirurgická terapie
- Total gastrectomy
- Esophagogastrectomy
- Cardia and gastroesophageal junction [2]
- Subtotal gastrectomy
- Distal stomach [2]
- Lymph node dissection
- Controversy exists regarding extent of dissection
- National Comprehensive Cancer Network (NCCN)
- D2 dissections over D1 dissections
- Pancreas- and spleen-preserving D2 lymphadenectomy
- Provides greater staging information
- May provide a survival benefit while avoiding its excess morbidity when possible [2]
