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World J Gastroenterol. Oct 14, 2014; 20(38): 13692-13704
Published online Oct 14, 2014. doi: 10.3748/wjg.v20.i38.13692
Improving the outcomes in gastric cancer surgery
Juul JW Tegels, Michiel FG De Maat, Karel WE Hulsewé, Anton GM Hoofwijk, Jan HMB Stoot
Juul JW Tegels, Michiel FG De Maat, Karel WE Hulsewé, Anton GM Hoofwijk, Jan HMB Stoot, Department of Surgery, Orbis Medical Center, 6130 MB Sittard, The Netherlands
Michiel FG De Maat, Department of Surgery, Maastricht University Medical Center, 6211 LK Maastricht, The Netherlands
Karel WE Hulsewé, Anton GM Hoofwijk, Jan HMB Stoot, Department of Surgery, Atrium Medical Center, 6461 AL Heerlen, The Netherlands
Author contributions: Stoot JHMB was invited and designed the outline of the paper; Tegels JJW wrote the first and final draft of the paper; De Maat MFG, Hulsewé KWE, Hoofwijk AGM and Stoot JHMB made writing contributions and extensively reviewed the manuscript.
Correspondence to: Juul JW Tegels, MD, Department of Surgery, Orbis Medical Centre, PO Box 5500, 6130 MB Sittard, The Netherlands. ju.tegels@orbisconcern.nl
Telephone: +31-88-4597777 Fax: +31-88-4597975
Received: December 28, 2013
Revised: February 8, 2014
Accepted: May 29, 2014
Published online: October 14, 2014
Processing time: 291 Days and 20.5 Hours
Core Tip

Core tip: In gastric cancer surgery comorbidities, nutritional status and geriatric frailty should be assessed to judge surgical risks in preoperative assessment. Improving postoperative recovery by laparoscopic surgery has improved outcomes for these patients. Enhanced recovery after surgery and fast-track programs should aim to further improve recovery after surgery. Advances have been made, however many areas for future research and improvement remain.