Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges
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 im...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-11-01
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| Series: | Current Oncology |
| Subjects: | |
| Online Access: | https://www.mdpi.com/1718-7729/28/6/413 |
| _version_ | 1797505609862479872 |
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| author | Sergii Girnyi Marcin Ekman Luigi Marano Franco Roviello Karol Połom |
| author_facet | Sergii Girnyi Marcin Ekman Luigi Marano Franco Roviello Karol Połom |
| author_sort | Sergii Girnyi |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-03-10T04:21:04Z |
| format | Article |
| id | doaj.art-91106d25961e4381bc67d20a7d248cc4 |
| institution | Directory Open Access Journal |
| issn | 1198-0052 1718-7729 |
| language | English |
| last_indexed | 2024-03-10T04:21:04Z |
| publishDate | 2021-11-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Current Oncology |
| spelling | doaj.art-91106d25961e4381bc67d20a7d248cc42023-11-23T07:50:45ZengMDPI AGCurrent Oncology1198-00521718-77292021-11-012864929493710.3390/curroncol28060413Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future ChallengesSergii Girnyi0Marcin Ekman1Luigi Marano2Franco Roviello3Karol Połom4Department of Surgical Oncology, Medical University of Gdansk, 80-070 Gdansk, PolandDepartment of Surgical Oncology, Medical University of Gdansk, 80-070 Gdansk, PolandUnit of General Surgery and Surgical Oncology, Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyUnit of General Surgery and Surgical Oncology, Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, ItalyDepartment of Surgical Oncology, Medical University of Gdansk, 80-070 Gdansk, PolandSurgeries 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.https://www.mdpi.com/1718-7729/28/6/413mesogastriumembryological planesanatomical dissectiongastric cancer |
| spellingShingle | Sergii Girnyi Marcin Ekman Luigi Marano Franco Roviello Karol Połom Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges Current Oncology mesogastrium embryological planes anatomical dissection gastric cancer |
| title | Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges |
| title_full | Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges |
| title_fullStr | Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges |
| title_full_unstemmed | Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges |
| title_short | Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges |
| title_sort | complete mesogastric excisions involving anatomically based concepts and embryological based surgeries current knowledge and future challenges |
| topic | mesogastrium embryological planes anatomical dissection gastric cancer |
| url | https://www.mdpi.com/1718-7729/28/6/413 |
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