Patients with locally advanced gastric cancer often require multivisceral resection to achieve complete tumor removal. A systematic review of 30 studies including 3362 patients showed that R0 resection was achieved in 67.77% of cases, with the spleen, colon, and pancreas being the most frequently resected organs. The most common postoperative complications were pancreatic fistulae, intraabdominal abscesses, and anastomotic leaks. The estimated 1-year, 3-year, and 5-year survival rates for the entire cohort were 62.2%, 33.05%, and 30.21% respectively, with survival mainly influenced by lymphatic invasion, tumor size, and patient age. Multivisceral resection may offer a survival advantage when compared to other surgical treatments in a selected group of patients.
Review by Schizas D, Giannakodimos I (…) Alexandrou A et 6 al. in J Clin Med