Operative Technique and Difficult Situations by Joachim Jähne (Conventional)

Abstract

With respect to the actual guidelines for the diagnostic and therapeutic approach to gastric carcinoma and due to the generally accepted histology-, stage-, and localization-oriented surgical therapy, the intra- and extraluminal extent of gastric resection can be well defined in order to achieve a R0 resection [3]. For oncological reasons, approximately 80 % of all gastric carcinomas require a total gastrectomy – eventually transhiatal or abdomino-thoracic – while in about 20 % of all patients, a subtotal, distal gastrectomy is adequate. Irrespective of the intraluminal extent of resection, a D2 lymph node dissection should be an integral part of surgery.