You are using an outdated browser. We suggest you update your browser for a better experience. Click here for update.
Close this notification.
Skip to main content Skip to search

Certaines de ces informations ou toutes, dans certains cas, n’apparaissent qu’en Anglais. Vous pouvez demander la version française

Lignes directrices et conseils
À propos des lignes directrices

Staging and Surgical Approaches in Gastric Cancer

ID: 2-19 jan 2017
Type of Content: Guidelines & Advice, Clinical
Document Status: Current
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

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

  1. What is/are the optimal techniques(s) to adequately stage gastric cancer?
  2. What is the optimal technique of gastric cancer surgery with curative intent with respect to:
    1. D2 lymph node dissection?
    2. D1 lymph node dissection?
    3. The minimal number of lymph nodes needed to be dissected for curative-intent resection?
    4. The minimal gross margin for curative-intent resection?
    5. Laparoscopic versus open resection?
  3. What are the indications for surgery for Stage IV gastric cancer in:
    1. Asymptomatic patients?
    2. Symptomatic patients?
  4. What is the relationship between surgical volumes and outcomes?
pdf download Summary (PDF) (167.67 Ko)
pdf download Full Report (PDF) (1.01 Mo)