Surgical management of gastric cancer: the East vs . West perspective

摘要: Gastric cancer is a unique malignancy, with definite geographic differences in incidence, pathology, treatment and outcome. While the incidence has been declining Western hemisphere, steady rates have reported Eastern countries, particularly South Korea Japan. One of most profound between East West centers around strategies, clinicians routinely adopting neoadjuvant approach, prior to surgical resection. clinicians, however, favor primary therapy pioneered many techniques currently used worldwide. From endoscopic therapies minimally-invasive surgery, including laparoscopic robotic techniques, surgeons studied their high-volumes patients. surgeons, practicing systems where gastric care not centralized, typically performed less aggressive resections, although generally see more advanced diseases. In era global becoming standardized, practice lessened. This review compares outcomes for practiced those standard West.