Open Gastric Surgery for Gastric Cancer

Area of Science:

• Oncology
• Surgical Gastroenterology

Background:

• Gastric cancer is a major global health concern, particularly in East Asia, often diagnosed late with poor prognosis.
• Advanced gastric cancer management involves systemic therapy and supportive care, with combined therapy and surgery for locally advanced cases.

Purpose of the Study:

• To provide a comprehensive overview of open gastrectomy techniques for localized gastric tumors.
• To detail the surgical resection and reconstruction methods employed in open gastrectomy.

Main Methods:

• Review of open surgical techniques for gastric cancer resection.
• Description of various gastrectomy procedures (total, distal, proximal) based on tumor location.
• Explanation of reconstruction methods following open gastrectomy.

Main Results:

• Open gastrectomy, encompassing total, distal, and proximal procedures, remains a key treatment for localized gastric cancer.
• Specific techniques for tumor resection and subsequent reconstruction are outlined.

Conclusions:

• Open gastrectomy is a recommended approach for localized gastric cancer, with technique selection dependent on tumor site.
• Understanding open resection and reconstruction is vital for managing gastric cancer patients effectively.