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Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer

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Gastric linitis plastica: which role for surgical resection?

Corrado Pedrazzani¹, Daniele Marrelli, Fabio Pacelli

¹Unit of Surgical Oncology, Department of Human Pathology and Oncology, Istituto Toscano Tumouri, University of Siena and ITT, Siena, Italy. pedrazzani@unisi.it

Gastric Cancer : Official Journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association

|July 1, 2011

Summary

Surgery for gastric linitis plastica (GLP) offers a poor prognosis, with most recurrences spreading within the abdomen. Multimodality treatments are needed for better outcomes in GLP patients.

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Area of Science:

Gastroenterology
Surgical Oncology
Oncology

Background:

The efficacy of surgical intervention for gastric linitis plastica (GLP) remains uncertain.
This study evaluates surgical outcomes for GLP, focusing on resectability, prognosis, and recurrence patterns.

Purpose of the Study:

To analyze the surgical treatment experience in 102 patients diagnosed with gastric linitis plastica (GLP).
To determine resectability rates, patient prognosis, and common recurrence sites following surgery for GLP.

Main Methods:

Retrospective analysis of surgical results in 102 patients with GLP.
Evaluation of resection types (R0, R1, R2) and survival data.

Main Results:

Surgical exploration was performed in 92 patients, with resection achieved in 60.
Potentially curative (R0) resection was possible in 27.5% of cases, with a median survival of 15.8 months.
Overall median survival was 5.7 months, with no long-term survivors; recurrences were predominantly intra-abdominal.

Conclusions:

Gastric linitis plastica (GLP) carries a poor prognosis post-surgery, irrespective of resection extent.
Peritoneal spread is the primary driver of treatment failure in surgically treated GLP.
Development of specialized multimodality treatment protocols is recommended for GLP.