What are the indications for radical surgery for gastric cancer? Find out

As the name suggests, radical surgery for gastric cancer is to remove the cancerous tumor before it spreads, in order to cure the disease. This radical surgery for gastric cancer is generally determined by the patient's age, lung function, and whether the surgery is suitable, and there are no contraindications to the surgery, such as complications such as severe heart failure or myocardial infarction, new cerebral infarction or cerebral hemorrhage within six months.

Many patients feel desperate when suffering from gastric cancer. In fact, modern medicine is very advanced, and there are many ways to treat cancer. If the tumor has not spread, radical surgery can be performed. However, this type of surgery has many requirements for physical condition. What are the indications for radical surgery for gastric cancer?
The indications for radical surgery for gastric cancer mainly include patients who have been diagnosed with gastric cancer through gastroscopy pathology examination. The conditions for surgery mainly include the patient's age and the strength of the cardiopulmonary function, both of which need to meet the conditions for surgery, but there are no contraindications to surgery. If the patient has complications such as severe heart failure or myocardial infarction, new cerebral infarction or cerebral hemorrhage within six months, and there is metastasis of distant cancer cells, no gastrointestinal obstruction, and bleeding symptoms, there is no way to perform surgical treatment. The patient's wishes need to be respected before the operation, and the doctor must also judge whether surgery is possible or necessary based on the patient's physical condition, disease, diagnosis and other conditions.
When gastric cancer patients do not have distant metastasis, local tumors can be removed by R0, which means that the tumor is completely removed as seen by the naked eye. This type of surgery is called radical surgery and is relatively effective. Radical surgery is divided into R1, R2, and R3 according to the tumor stage, which means clearing the first-station lymph nodes, the second-station lymph nodes, and the third-station lymph nodes.
Early-stage gastric cancer patients can undergo R1 surgical treatment when there is no lymph node metastasis. Advanced gastric cancer patients generally undergo R+ surgery, which means lymph node dissection to the second station or above. Lymph node dissection to the third or fourth station will cause great trauma to the patient, and the patient's prognosis will be very poor, so the current application scope is relatively small.