Karcinom želuca je posle karcinoma kolona najzastupljeniji karcinom gastrointestinalnog trakta. Dijagnostika karcinoma želuca najčešće se bazira na primeni kontrasne radiografije, fiberoptičke endoskopije sa biopsijom i histološkim pregledom preparata. Adekvatna dijagnostika veoma je bitna za precizno preoperativno gradiranje tumora i odabir hirurške intervencije. Pravilno odredjivanje stepena uznapredovalosti maligne bolesti od velike je vaznosti za pravilan tretman pacijenata sa karcinomom želuca. Zapadni hirurzi koriste TNM sisttem klasifikacije tumora dat od strane Američkog komiteta za kancer (AJCC), dok istočni hirurzi i Japanci koriste Japanski sistem klasifikacije koji je inaugurisan 1981.godine. Operativno rešavanje karcinoma želuca je svakako osnovni terapijski postupak u lečenju ovog oboljenja. Pre bilo kakvog operativnog rada, za uspešno operativno rešavanje karcinomatozne lezije potrebna je adekvatna preoperativna priprema pacijenata. Na ovaj način smanjujemo broj postoperativnih komplikacija
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