[The current situation and treatment strategy for gastric cancer at the National Cancer Center of Tokyo, Japan].

At the National Cancer Center of Tokyo Gastric Division, from 13/09/1993 to 12/11/93, 42 gastrectomies, 3 local resections and 1 exploratory laparotomy, for gastric cancer, were carried out. Resection R2 were carried out in 29/42 (69%), resection R2 plus dissection of the station 16 in 5/42 (12%), resection R3 plus dissection of the station 16 in 4/42 (9.5%) and distal pancreas preserving in 11/14 (78.6%) of the total gastrectomies. The most frequently type of reconstruction done after distal gastrectomy was Billroth 1 in 20/28 (71.4%) and the most frequent stage of the disease was la-b in 34/46 (74%). Postoperative severe complications were present in 5/42 (12%) and the most frequently histological type was tubular adenocarcinoma 27/46 (58.7%).