Gastric cancer is a common disease with high mortality. The definition of advanced gastric cancer is still debated. Radical surgery associated to appropriate systemic and intra-abdominal chemotherapy is the gold standard treatment. In presence of peritoneal carcinosis, reaching a complete cytoreduction is the key to achieve long-term survival. Adequate lymphadenectomy is also fundamental. Conversion therapy could be applied to selected IV stage patients. No definitive evidences exist regarding the oncological and surgical superiority of mini-invasive approaches over the classical open techniques.
Advanced gastric cancer: the value of surgery / Fugazzola, Paola; Ansaloni, Luca; Sartelli, Massimo; Catena, Fausto; Cicuttin, Enrico; Leandro, Gioacchino; De' Angelis, Gian Luigi; Gaiani, Federica; Di Mario, Francesco; Tomasoni, Matteo; Coccolini, Federico. - In: ACTA BIO-MEDICA DE L'ATENEO PARMENSE. - ISSN 0392-4203. - 89:8-S(2018), p. 110-116. [10.23750/abm.v89i8-S.7897]
Advanced gastric cancer: the value of surgery
Catena, Fausto;De' Angelis, Gian Luigi;Gaiani, Federica;Di Mario, Francesco;
2018-01-01
Abstract
Gastric cancer is a common disease with high mortality. The definition of advanced gastric cancer is still debated. Radical surgery associated to appropriate systemic and intra-abdominal chemotherapy is the gold standard treatment. In presence of peritoneal carcinosis, reaching a complete cytoreduction is the key to achieve long-term survival. Adequate lymphadenectomy is also fundamental. Conversion therapy could be applied to selected IV stage patients. No definitive evidences exist regarding the oncological and surgical superiority of mini-invasive approaches over the classical open techniques.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.