Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Ossola, Paolo; Mascioli, Fabio Massimo Frattale; Coletta, Diego; Bononi, Marco

doi:10.1089/lap.2020.0743

Cited by 3 publications

(1 citation statement)

References 21 publications

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“…Moreover, even as postoperative complications were comparable between the two groups, the severity was significantly lower in the D2 + CME group. A review of the available six studies on complete mesogastric excisions on 518 patients showed that the mean number of resected lymph nodes was 36.7 ± 10 [ 46 ]. The mean operative time was 240.7 ± 10.1 min, with a morbidity rate of 6% and a median blood loss of 50.2 ± 39.6 mL.…”

Section: Gastrectomy D2 + Cmementioning

confidence: 99%

Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges

et al. 2021

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Surgeries for gastrointestinal tract malignancies are based on the paradigm that we should remove the tumour together with its lymphatic drainage in one block. This concept was initially proposed in rectal surgery and called a total mesorectal excision. This procedure gained much interest and has improved oncological results in rectal cancer surgery. The same idea for mesogastric and complete mesogastric excisions was proposed but, because of the complexity of the gastric mesentery, it has not become a standard technique. In this review, we analysed anatomical and embryological factors, proposed technical aspects of this operation and incorporated the available initial results of this concept. We also discussed analogies to other gastrointestinal organs, as well as challenges to this concept.

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Section: Gastrectomy D2 + Cmementioning

confidence: 99%

Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges

et al. 2021

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Progress and remaining challenges in comprehensive gastric cancer treatment

et al. 2022

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Gastric cancer (GC) is the fifth most common cancer among all cancer fields and currently the third most common cause of cancer-related deaths both in men and women worldwide. Additionally, the incidence and mortality of GC significantly varies due to different eating habits and environmental and genetic factors in different areas. Remarkably, with the development of techniques and surgical equipment along with newly emerging drugs and therapeutics, the 5-year survival for GC patients has increased and the death rate has decreased. In this perspective, based on current therapies in GC field around the world, we present a systematic discussion about the state of advanced clinical treatments including surgical resection, systemic chemotherapy, targeted therapy, radiotherapy and enhanced recovery after surgery. Although challenges remain which require further study and investigation, in this review, we mainly focus on the promising clinical treatment strategies in GC to date.

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Complete Mesogastric Excision for Gastric Cancer: is it the Future of Gastric Cancer Surgery?

Lianos,

Bali,

Vlachos

et al. 2023

Per. Med.

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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.

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Laparoscopic Mesogastrium Excision for Gastric Cancer: Only the Beginning

Cited by 3 publications

References 21 publications

Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges

Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges

Progress and remaining challenges in comprehensive gastric cancer treatment

Complete Mesogastric Excision for Gastric Cancer: is it the Future of Gastric Cancer Surgery?

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