Esophagogastrectomy is performed for tumors of the cardia and gastroesophageal junction. Total gastrectomy is performed if it is required for negative margins, while subtotal gastrectomy is performed for tumors of the distal stomach.
As far as lymph node dissection is concerned, controversy exists regarding extent of dissection. The National Comprehensive Cancer Network (NCCN) recommends D2 dissections over D1 dissections; a pancreas- and spleen-preserving D2 lymphadenectomy provides greater staging information and may provide a survival benefit while avoiding its excess morbidity when possible.
Learn more about the surgical management of gastric cancer.
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Cite this: Elwyn C. Cabebe. Fast Five Quiz: Gastric Cancer Management - Medscape - Apr 06, 2022.