Current status of surgical treatment in gastric cancer with para-aortic nodal metastases / 中国实用外科杂志

Para-aortic lymph node metastasis(No. 16a2,No.16b1)is a non-curative factors with stage Ⅳ gastric cancer. The prognosis is poor. The high-level evidence based medical clinical research(JCOG0405 trail)results proved that R0 resection can be performed by the technology of operation after systemic preoperative chemotherapy for the patients of stage Ⅳ gastric cancer with only one non-curative factor of para-aortic lymph node metastasis positive. And the satisfactory prognosis was achieved. In this regard,comprehensive treatment including surgical resection is the first choice and standard treatment for the stage Ⅳ gastric cancer with para-aortic lymph node metastasis.