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Related Experiment Video

Updated: Jul 9, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
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Multivisceral Resection for Locally Advanced Gastric Cancer: A Systematic Review and Evidence Quality Assessment.

Dimitrios Schizas1, Ilias Giannakodimos1, Konstantinos S Mylonas1

  • 1First Department of Surgery, "Laikon" General Hospital, National and Kapodistrian University of Athens, 115 27 Athens, Greece.

Journal of Clinical Medicine
|December 9, 2023
PubMed
Summary

Multivisceral resection (MVR) for locally advanced gastric cancer (LAGC) is feasible, achieving R0 resection in over 67% of patients. While complications exist, MVR may offer survival benefits in selected cases.

Keywords:
gastrectomygastric cancerlocally advancedmultivisceral resectionsystematic review

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Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Oncology

Background:

  • Locally advanced gastric cancer (LAGC) often necessitates multivisceral resection (MVR) for complete tumor removal (R0 resection) and local control.
  • MVR involves removing the primary tumor along with adjacent organs, posing significant surgical challenges.

Purpose of the Study:

  • To systematically review postoperative and long-term outcomes of MVR for gastric cancer.
  • To evaluate the feasibility and survival impact of MVR in patients with LAGC.

Main Methods:

  • A systematic literature search was conducted on the PubMed database by two independent investigators.
  • Inclusion criteria focused on studies reporting MVR for LAGC, ultimately analyzing 30 studies with 3362 patients.

Main Results:

  • R0 resection rates reached 67.77%. The spleen, colon, and pancreas were most commonly resected organs during MVR.
  • Frequent postoperative complications included pancreatic fistulae (10.08%), intraabdominal abscesses (9.92%), and anastomotic leaks (8.09%).
  • Estimated survival rates were 62.2% at 1 year, 33.05% at 3 years, and 30.21% at 5 years, influenced by factors like tumor size and patient age.

Conclusions:

  • Gastrectomy with MVR is a viable option for selected LAGC patients, potentially improving survival compared to less extensive surgery.
  • Careful patient and tumor characteristic assessment is crucial for optimizing candidate selection for MVR.