[Radical surgery in gastric cancer].

In gastric cancer the surgery with radical visa require to extirpate all the tumor and the reminder of the tumor (Ro), together with the great omentum and with regional extended lymphadenectomy. To extirpate the tumor it is necessary to be done gastric resection or total gastrectomy, depending on the localization, the extension of the tumor and the histological type, followed by the reestablish the digestive transit. The lymphadenectomy require lymph node extirpation (D1, D2, D3) accordingly the 3 lymph node stations-N1, N2, N3-, depending on the localization of the tumor and the stage of the disease. There are presented the technics for gastric resection and total gastrectomy and for extended lymph node extirpation.