As radical gastrectomy with lymph node dissection is currently the best strategy to cure gastric cancer, the role of the surgeon remains quite important in conquering it. Dr. Sung Hoon Noh, a surgeon and surgical oncologist specializing in gastric cancer, has treated gastric cancer for 30 years and has conducted over 10000 cases of gastrectomy for gastric cancer. He first adapted an elec-trocautery device into gastric cancer surgery and has led standardization of surgical procedures, including spleen preserving gastrectomy. His procedures based on patient-oriented insights have become the basis of the concept of enhanced recovery after surgery. He has also contributed to improving patient’s survival through adoption of a multidisciplinary approach: he proved the benefit of adjuvant chemotherapy after radical D2 gastrectomy for stage II/III gastric cancer in clinical trials, updating treatment guidelines throughout the world. Dr. Noh also opened the era of precision medicine for treating gastric cancer, as he developed and validated a mRNA expression based algorithm to predict prognosis and response to chemotherapy. This article reviews his contribution and long history of service in the field of gastric cancer. The perspectives of this master surgeon, based on his profound experience and insights, will outline directions for integrative multidisciplinary health care and how can surgeons prepare for the future.
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Dr. Sung Hoon Noh dedicates this review to his family, especially to his lovely, but now deceased wife Mrs. Young Soon Lee. He expresses gratitude to his senior mentors, Dr. Jin Sik Min and Dr. Kyung Sik Lee, who inspired him to be a great surgeon. He also thanks all of his colleagues including Dr. Choong Bae Kim and fellows (Dr. Chang-hak Yoo, Yong Il Kim, Dong-woo Shin, Ki-hyeok Lah, Junho Lee, Changsoo Song, Sungsoo Kim, Sung Jin Oh, Ji Yeong An, Jong Won Kim, Seongguen Hwang, Geon-Ung Heo, Seokho Yoon, Kyung Ho Park, Jyewon Song, Joong Ho Lee, Yoo-Min Kim, In Cho, Hyun Beak Shin, Sang Hyuk Seo, Hui-Jae Bang, Seung Hyun Lim, You-Na Kim, Kun Ho Roh, Chul Kyu Roh, Won Jun Seo, Seohee Choi) and foreign fellows in the Department of Surgery and the Yonsei Gastric Cancer Center who have treated and studied gastric cancer with him. He also deeply appreciates the patients and families who have entrusted their lives to his care. We thank Dr. Jung-Won Park, Editor-in-Chief of the Yonsei Medical Journal, for accepting this memorable perspective and history of Dr. Noh for publication.
© Yonsei University College of Medicine 2019.
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