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- Title
Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges.
- Authors
Girnyi, Sergii; Ekman, Marcin; Marano, Luigi; Roviello, Franco; Połom, Karol
- Abstract
Surgeries for gastrointestinal tract malignancies are based on the paradigm that we should remove the tumour together with its lymphatic drainage in one block. This concept was initially proposed in rectal surgery and called a total mesorectal excision. This procedure gained much interest and has improved oncological results in rectal cancer surgery. The same idea for mesogastric and complete mesogastric excisions was proposed but, because of the complexity of the gastric mesentery, it has not become a standard technique. In this review, we analysed anatomical and embryological factors, proposed technical aspects of this operation and incorporated the available initial results of this concept. We also discussed analogies to other gastrointestinal organs, as well as challenges to this concept.
- Subjects
GASTROINTESTINAL cancer; RECTAL surgery; RECTAL cancer; GASTROINTESTINAL surgery; ONCOLOGIC surgery; GASTROINTESTINAL system; MESENTERY
- Publication
Current Oncology, 2021, Vol 28, Issue 6, p4929
- ISSN
1198-0052
- Publication type
Article
- DOI
10.3390/curroncol28060413