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Related Experiment Video

Updated: Mar 25, 2026

Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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MULTIVISCERAL RESECTIONS FOR GASTRIC CANCER.

N Vladov, T S Lukanova, Ts Trichkov

    Khirurgiia
    |February 19, 2016
    PubMed
    Summary
    This summary is machine-generated.

    Multivisceral resection for advanced gastric cancer is crucial for achieving R0 margins. This aggressive surgical approach, while complex, offers improved survival rates in selected patients.

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    Area of Science:

    • Surgical Oncology
    • Gastroenterology
    • Oncologic Surgery

    Background:

    • Locally advanced gastric cancer necessitates multivisceral resection for R0 margins.
    • The outcomes of this extensive surgical approach require thorough evaluation.

    Purpose of the Study:

    • To assess the efficacy of "en bloc" multivisceral resections in advanced gastric cancer.
    • Evaluate postoperative morbidity, mortality, and survival rates associated with this aggressive surgical strategy.

    Main Methods:

    • Retrospective analysis of 60 patients with locally advanced gastric carcinoma.
    • Patients underwent total or subtotal gastrectomy with multivisceral resection between 2004-2014.

    Main Results:

    • Commonly resected organs included spleen (76.7%), pancreas (40%), and colon (18.3%).
    • R0 resection was achieved in 75% of cases, with 70% showing histopathologic confirmation of adjacent organ involvement (pT4).
    • Postoperative morbidity was 28.3%, and mortality was 6.7%. The overall 5-year survival rate was 24.1% (32.6% for R0 vs. 0% for R1).

    Conclusions:

    • R0 multivisceral resection is a key therapeutic option for advanced gastric cancer.
    • Feasible in selected patients with appropriate surgical expertise.
    • Offers acceptable mortality and morbidity with favorable survival outcomes.