Gastric cancer patients should choose a reasonable surgical method according to their condition

If gastric cancer patients meet the surgical indications, they should undergo surgery in a timely manner and choose a reasonable surgical method based on their condition.

Radical resection

Cancerous lesions are easier to remove, and the surrounding lymph nodes that may have metastatic cancer are the cause of postoperative recurrence. During surgery, the focus is on expanding the scope of lymph node clearance that may have metastasized or micrometastasized. Many lymph nodes are distributed along large blood vessels, and it is difficult and risky to thoroughly clear the lymph nodes. The postoperative recurrence rate, early or late recurrence, survival period, and quality of life vary greatly. The operation time is increased by 3-5 hours, and the patient's surgical risks and postoperative recovery are not much different, but the survival period may be extended by 2-5 years, or even cured.

Palliative resection

When gastric cancer patients have extensive lymph node metastasis and fusion that is difficult to clear, liver metastasis, severe invasion of multiple peripheral organs, peritoneal metastasis, and multiple metastasis throughout the body, surgery is no longer able to prolong survival. If the patient does not have a large amount of ascites and has not reached the terminal stage of cachexia, and has cancer obstruction or continuous bleeding, palliative resection of the stomach or the whole stomach that causes the symptoms without lymph node dissection is considered palliative resection. This surgical method can improve the quality of life and avoid potential massive bleeding or cancer ulceration and perforation that shortens survival. If the surgical risk is not too great, palliative resection should be tried.

Tips: It is recommended that gastric cancer patients choose experienced physicians when undergoing radical resection to avoid postoperative recurrence.