Although there has been a slow but steady decrease in incidence, gastric cancer remains the second leading cause of cancer death worldwide. Several aspects of the oncological and surgical management are still controversial and so gastric cancer represents a challenge for the surgeon. This book aims to delineate the state of the art in the surgical and oncological treatment of gastric cancer, describing the new TNM staging system, the extent of visceral resection and lymphadenectomy focusing on the different open and minimally invasive surgical techniques and discussing intraoperative chemohyperthermia and neoadjuvant and adjuvant treatment. Operative endoscopy and endoscopic ultrasonography are also discussed, as these now have an important role in both diagnostic work-up and palliative care of gastric cancer patients. Only a multidisciplinary approach involving the surgeon, gastroenterologist, and oncologist can produce the comprehensive and integrated overview that today constitutes a winning strategy for the optimization of results.What we hope we have achieved is a flexible, up-to-date, exhaustive publication, rich in illustrations and consistent with evidence-based medicine.
Professor Walter Siquini is a teaching fellow at the Polytechnic University of Ancona, Italy and is employed as a general surgeon, at "Torrette-Umberto I" Hospital, which is a high-level hospital with specialism in major and oncologic surgery. He graduated in medicine in 1993 and received a postgraduate qualification in general surgery in 1998 at the University of Ancona. Since 2002 he has been a researcher and teaching assistant at the Teaching Hospital of "Torrete-Umberto I". His main interest is oncological gastrointestinal surgery, and he has attended and spoken at several national congresses concerning gastric cancer.
1 Epidemiology of Gastric Cancer and Screening Programs. 2 Etiopathogenesis of Gastric Cancer. 3 Lymphatic Spread, Lymph Node Stations, Levels of Lymphatic Dissection in Gastric Cancer. 4 Pathologic Classifications and Staging Systems. 5 Prognostic Factors and Score Systems in Gastric Cancer. 6 Preoperative Work-Up: Endoscopy and Endoscopic Ultrasonography. 7 Preoperative Work-Up and Assessment of Resectability. 8 Resection Margins in Gastric Cancer. 9 Gastric Cancer: Standard or Extended Lymphadenectomy?. 10 Reconstruction After Gastrectomy. 11 Endoscopic and Surgical Treatment of Early Gastric Cancer. 12 Treatment of Resectable Advanced Gastric Cancer. 13 Multivisceral Resection for Locally Advanced Gastric Cancer. 14 Surgical Treatment of Liver Metastases from Gastric Cancer. 15 Hyperthermic Intraperitoneal Chemotherapy in Gastric Cancer. 16 Postoperative Course: Morbidity, Mortality and Treatment of Complications. 17 Long-term Results After R0 Resection in the Surgical Treatment of Gastric Cancer. 18 Surgical Treatment of Gastric Cancer Infiltrating the Esophago-gastric Junction. 19 Surgical Treatment of Gastric Cancer in Elderly Patients. 20 Cholecystectomy: Pros and Cons? 21 Neoadjuvant Treatment for Resectable Locally Advanced Gastric Cancer. 22 Neoadjuvant Treatment for Resectable Locally Advanced Gastric Cancer: European Ongoing Trials. 23 The Role of Chemotherapy in Metastatic Disease. 24 Adjuvant Treatment After Surgical Resection. 25 Follow-Up and Treatment of Recurrence. 26 Endoscopic and Surgical Palliation of Unresectable Gastric Cancer. 27 Palliative Treatment. 28 Gastric Cancer: a Model to Study Skeletal Musle Wasting of Cachexia. 29 Quality of Life After Gastrectomy. 30 Total and Subtotal Gastrectomy with D2 Lymphadenectomy: Technical Notes. 31 Proximal Gastrectomy: Technical Notes. 32 Total and Subtotal Minimally Invasive Gastrectomy: Technical Notes. 33 Standard and Extended Lymphadenectomy: Technical Notes.