AI Article Synopsis

  • Gastric cancer is a prevalent and deadly disease, with ongoing debate about what constitutes advanced stages of the disease.
  • The best treatment involves radical surgery combined with systemic and intra-abdominal chemotherapy, emphasizing the importance of complete cytoreduction and thorough lymph node removal for better survival rates.
  • There is no conclusive evidence that minimally invasive surgical methods are better than traditional open surgery for treating gastric cancer, especially in advanced cases.

Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6502221PMC
http://dx.doi.org/10.23750/abm.v89i8-S.7897DOI Listing

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