Advanced gastric cancer: the value of surgery

Advanced gastric cancer: the value of surgery

Authors

  • Paola Fugazzola Emergency, General and Trauma Surgery dept., Bufalini hospital, Cesena, Italy
  • Luca Ansaloni Emergency, General and Trauma Surgery dept., Bufalini hospital, Cesena, Italy
  • Massimo Sartelli General Surgery Department, Macerata Hospital, Macerata, Italy
  • Fausto Catena General and Emergency Surgery dept., Maggiore hospital, Parma, Italy
  • Enrico Cicuttin Emergency, General and Trauma Surgery dept., Bufalini hospital, Cesena, Italy
  • Gioacchino Leandro National Institute of Gastroenterology “S. De Bellis” Research Hospital, Castellana Grotte, Italy
  • Gian Luigi de' Angelis Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Federica Gaiani Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Francesco Di Mario Gastroenterology and Endoscopy Unit, Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Matteo Tomasoni Emergency, General and Trauma Surgery dept., Bufalini hospital, Cesena, Italy
  • Federico Coccolini Emergency, General and Trauma Surgery dept., Bufalini hospital, Cesena, Italy

Keywords:

advanced gastric cancer, chemotherapy, hipec, intraperitoneal, surgery, definition, metastasis, carcinosis

Abstract

Gastric cancer is a common disease with high mortality. The definition of advanced gastric cancer is still debated. Radical surgery associated to appropriate systemic and intra-abdominal chemotherapy is the gold standard treatment. In presence of peritoneal carcinosis, reaching a complete cytoreduction is the key to achieve long-term survival. Adequate lymphadenectomy is also fundamental. Conversion therapy could be applied to selected IV stage patients. No definitive evidences exist regarding the oncological and surgical superiority of mini-invasive approaches over the classical open techniques.

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Published

17-12-2018

How to Cite

1.
Fugazzola P, Ansaloni L, Sartelli M, Catena F, Cicuttin E, Leandro G, et al. Advanced gastric cancer: the value of surgery. Acta Biomed [Internet]. 2018 Dec. 17 [cited 2024 Jul. 19];89(8-S):110-6. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/7897