Magyar, Christian T J; Rai, Ankit; Aigner, Karl R; Jamadar, Parvezikbal; Tsui, Tung Y; Gloor, Beat; Basu, Somprakas; Vashist, Yogesh K (2023). Current standards of surgical management of gastric cancer: an appraisal. Langenbeck's archives of surgery, 408(1), p. 78. Springer-Verlag 10.1007/s00423-023-02789-5
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PURPOSE
Gastric cancer (GC) is the fifth most common malignancy worldwide and portends a grim prognosis due to a lack of appreciable improvement in 5-year survival. We aimed to analyze the available literature and summarize the current standards of surgical care for curative and palliative intent treatment of GC.
METHODS
We conducted a systematic search on the PubMed database for studies on the management of GC.
RESULTS
Endoscopic resection is an acceptable treatment option for T1a tumors. The role of optimal resection margin for GC remains unclear. D2 lymph node dissection remains the standard of care with splenectomy needed selectively for splenic hilum involvement. A distal pancreatic resection should be avoided. The advantage of bursectomy and omentectomy in GC surgery is not clear. Multi-visceral resection may be considered for locally advanced GC in carefully selected patients. Minimally invasive approaches are non-inferior to open surgery. Surgery should be abandoned prior even in metastatic GC within the frame of multimodal therapy approach.
CONCLUSION
Various trials have conclusively shown improved patient outcomes when well-established surgical standards are followed.
Item Type: |
Journal Article (Review Article) |
|---|---|
Division/Institute: |
04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery 04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine |
UniBE Contributor: |
Magyar, Christian Tibor Josef, Gloor, Beat |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1435-2443 |
Publisher: |
Springer-Verlag |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
07 Feb 2023 09:26 |
Last Modified: |
12 Feb 2023 02:26 |
Publisher DOI: |
10.1007/s00423-023-02789-5 |
PubMed ID: |
36745231 |
Uncontrolled Keywords: |
Gastrectomy Gastric cancer Lymphadenectomy Management Palliative surgery Review |
BORIS DOI: |
10.48350/178431 |
URI: |
https://boris.unibe.ch/id/eprint/178431 |
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