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Lymph Node Metastasis in Gastrointestinal Cancer pp 347–358Cite as

Clinical Aspect: Gastric Cancer

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Abstract

Recent meta-analyses and a prospective multicenter trial of sentinel node (SN) mapping for early gastric cancer have shown acceptable SN detection rates and accuracy of determination of lymph node status. A dual-tracer method that employs radioactive colloids and blue dyes is currently considered the most reliable method for the stable detection of SNs for early-stage gastric cancer. However the new technologies such as indocyanine green infrared or fluorescence imaging and molecular detection of occult tumor cells in SN may revolutionize the SN mapping procedures in gastric cancer. For early gastric cancer, the establishment of individualized, minimally invasive gastrectomy based on SN concept can retain the patients’ quality of life. The combination of non-exposed endoscopic wall-inversion surgery with SN mapping and lymphatic basin dissection is expected to become a promising, ideal minimally invasive, function-preserving surgery to cure patients with cN0 early gastric cancer.

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Author information

Authors and Affiliations

  1. Department of Surgery, Hamamatsu University School of Medicine, Shizuoka, Japan

    Hiroya Takeuchi

  2. Department of Surgery, Keio University School of Medicine, Tokyo, Japan

    Yuko Kitagawa

Authors
  1. Hiroya Takeuchi
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  2. Yuko Kitagawa
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Corresponding author

Correspondence to Hiroya Takeuchi .

Editor information

Editors and Affiliations

  1. Department of Digestive Surgery, Breast and Thyroid Surgery, Kagoshima, Japan

    Shoji Natsugoe

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© 2019 Springer Nature Singapore Pte Ltd.

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Takeuchi, H., Kitagawa, Y. (2019). Clinical Aspect: Gastric Cancer. In: Natsugoe, S. (eds) Lymph Node Metastasis in Gastrointestinal Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-4699-5_19

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  • DOI: https://doi.org/10.1007/978-981-10-4699-5_19

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-10-4698-8

  • Online ISBN: 978-981-10-4699-5

  • eBook Packages: MedicineMedicine (R0)

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