
Multivisceral Resection for Locally Advanced Gastric Cancer
Author(s) -
John Aversa,
Laurence P. Diggs,
Brendan Hagerty,
Dana A. Dominguez,
Philip H.G. Ituarte,
Jonathan M. Hernandez,
Jeremy L. Davis,
Andrew M. Blakely
Publication year - 2020
Publication title -
journal of gastrointestinal surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.168
H-Index - 126
eISSN - 1873-4626
pISSN - 1091-255X
DOI - 10.1007/s11605-020-04719-y
Subject(s) - medicine , perioperative , gastrectomy , cancer , proportional hazards model , resection margin , hazard ratio , logistic regression , stage (stratigraphy) , oncology , surgery , gastroenterology , resection , confidence interval , paleontology , biology
Locally advanced gastric cancer (LAGC) presents a therapeutic dilemma, particularly as it often involves adjacent organs through desmoplasia or true pathologic invasion. To obtain a margin-negative resection, these tumors require en bloc gastrectomy with multivisceral resection (G+MVR), and contention remains regarding its safety and oncologic benefit.