Staging and Surgical Approaches in Gastric Cancer
Guideline Objective
To develop recommendations on the optimal surgical management of gastric cancer in Ontario.
Patient Population
These recommendations apply to adult men and women with Stage I to IV gastric cancer who are being considered for surgery. Gastroesophageal junction tumours and early gastric cancers are excluded because they require additional considerations.
Intended Guideline Users
Intended users of this guidance document are surgeons, gastroenterologists, medical oncologists, radiation oncologists, and the multidisciplinary team who treat gastric cancer.
Research Questions
- What is/are the optimal techniques(s) to adequately stage gastric cancer?
- What is the optimal technique of gastric cancer surgery with curative intent with respect to:
- D2 lymph node dissection?
- D1 lymph node dissection?
- The minimal number of lymph nodes needed to be dissected for curative-intent resection?
- The minimal gross margin for curative-intent resection?
- Laparoscopic versus open resection?
- What are the indications for surgery for Stage IV gastric cancer in:
- Asymptomatic patients?
- Symptomatic patients?
- What is the relationship between surgical volumes and outcomes?
Modality:
Surgery
PEBC:
PEBC
Guideline Identifier:
2-19
Cancer Continuum:
Treatment
Cancer Type:
Type of Content:
Authors:
N. Coburn
R. Cosby
L. Klein
G. Knight
R. Malthaner
J. Mamazza
D. Mercer
J. Ringash
Surgical Management of Gastric Cancer Guideline Development Group
Universal Date:
2017-01-17 00:00:00