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Updated: Jun 16, 2025

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment

Published on: December 27, 2024

Conversion surgery for gastric cancer with PM.

Toshiyuki Kitai¹, Kenya Yamanaka²

¹Department of Surgery, Kishiwada Tokushukai Hospital, Kishiwada, Japan.

Journal of Surgical Oncology

|August 19, 2024

Summary

The survival benefit of surgery for gastric cancer with peritoneal carcinomatosis is uncertain. Key factors for successful conversion surgery include chemotherapy response, complete resection, and minimal tumor burden.

Keywords:

bidirectional approach cytoreductive surgery gastrectomy hyperthermic intraperitoneal chemotherapy induction chemotherapy radical resection

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Last Updated: Jun 16, 2025

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Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors

Published on: February 19, 2022

Area of Science:

Surgical Oncology
Gastrointestinal Oncology
Peritoneal Carcinomatosis Management

Background:

Peritoneal carcinomatosis in gastric cancer presents a significant challenge to patient survival.
The role and efficacy of surgical intervention in this context remain debated.
Optimizing treatment strategies is crucial for improving outcomes.

Purpose of the Study:

To review existing literature on conversion surgery for gastric cancer with peritoneal carcinomatosis.
To identify critical factors influencing the success of surgical intervention.
To evaluate current surgical approaches and their potential impact on survival.

Main Methods:

Systematic review of twenty studies focusing on conversion surgery.
Analysis of key surgical parameters: response to chemotherapy, completeness of resection, and tumor burden.
Examination of bidirectional treatment approaches aimed at enhancing chemotherapy response rates.

Main Results:

Conversion surgery success is contingent upon pre-operative chemotherapy response, achieving complete tumor resection, and a low initial tumor burden.
Development of bidirectional strategies aims to improve patient response to neoadjuvant therapies.
Two distinct surgical strategies are currently employed, with ongoing trials to compare their efficacy.

Conclusions:

The effectiveness of conversion surgery for gastric cancer with peritoneal carcinomatosis requires further investigation.
Patient selection based on tumor burden and response to chemotherapy is paramount for surgical consideration.
Ongoing clinical trials are expected to provide definitive evidence regarding the controversial role of surgery in this setting.