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Review
. 2018 Dec 17;89(8-S):110-116.
doi: 10.23750/abm.v89i8-S.7897.

Advanced gastric cancer: the value of surgery

Paola Fugazzola  1 , Luca Ansaloni, Massimo Sartelli, Fausto Catena, Enrico Cicuttin, Gioacchino Leandro, Gian Luigi De' Angelis, Federica Gaiani, Francesco Di Mario, Matteo Tomasoni, Federico Coccolini
Affiliations
Review

Advanced gastric cancer: the value of surgery

Paola Fugazzola et al. Acta Biomed. .

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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