Complete mesogastric excision for gastric cancer: is it the future of gastric cancer surgery?

Autor: Lianos GD; Department of Surgery, University Hospital of Ioannina, Ioannina, 45500, Greece., Bali CD; Department of Surgery, University Hospital of Ioannina, Ioannina, 45500, Greece., Vlachos K; Department of Surgery, University Hospital of Ioannina, Ioannina, 45500, Greece., Drosou P; Department of Surgery, University Hospital of Ioannina, Ioannina, 45500, Greece., Rausei S; Department of Surgery, Cittiglio-Angera Hospital, ASST Settelaghi, Cittiglio, 21033, Italy., Mitsis M; Department of Surgery, University Hospital of Ioannina, Ioannina, 45500, Greece., Schizas D; First Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, 11527, Greece.
Jazyk: angličtina
Zdroj: Personalized medicine [Per Med] 2023 Sep; Vol. 20 (5), pp. 461-466. Date of Electronic Publication: 2023 Oct 09.
DOI: 10.2217/pme-2023-0028
Abstrakt: Gastric cancer remains undoubtedly one of the most common and deadly cancers worldwide. The global incidence shows wide geographic variation with a high prevalence in Asia. Besides that, there are evident differences in epidemiology, histopathology, tumor location, diagnosis and treatment strategy between east and west countries. Gastric cancer represents an aggressive disease, with many factors influencing its development and also recurrence after surgical resection. New knowledge of disease spread and new routes of metastases are now emerging and the 'novel' concept of complete mesogastric excision for gastric cancer is under consideration and debate. This article aims to analyze and highlight this new concept after a careful literature review, offering also a view toward the future.
Databáze: MEDLINE