Chirurgie des Magenkarzinoms: Standards und Innovationen – Von der primären Chirurgie zu multimodalen, individualisierten Strategien

摘要: Tumor stage, growth pattern and tumor site are major factors determining the extent of resection lymphadenectomy. In patients with early stages, anatomically orientated limited techniques increasingly important, probably in combination concept sentinel lymph node. Gastric cancer staged uT1sm/2 is treated surgery alone. Proximal tumors undergo a transhiatal extended gastrectomy, middle third total gastrectomy distal subtotal if possible. locally advanced perioperative chemotherapy improves prognosis now standard western world. D2 lymphadenectomy accepted as procedure, providing improved for certain subgroups patients. Individualized stages response based neoadjuvant concepts challenge future.