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Review

Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges

1
Department of Surgical Oncology, Medical University of Gdansk, 80-070 Gdansk, Poland
2
Unit of General Surgery and Surgical Oncology, Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy
*
Author to whom correspondence should be addressed.
Curr. Oncol. 2021, 28(6), 4929-4937; https://doi.org/10.3390/curroncol28060413
Received: 13 October 2021 / Revised: 10 November 2021 / Accepted: 19 November 2021 / Published: 22 November 2021
(This article belongs to the Section Gastrointestinal Oncology)
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. View Full-Text
Keywords: mesogastrium; embryological planes; anatomical dissection; gastric cancer mesogastrium; embryological planes; anatomical dissection; gastric cancer
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MDPI and ACS Style

Girnyi, S.; Ekman, M.; Marano, L.; Roviello, F.; Połom, K. Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges. Curr. Oncol. 2021, 28, 4929-4937. https://doi.org/10.3390/curroncol28060413

AMA Style

Girnyi S, Ekman M, Marano L, Roviello F, Połom K. Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges. Current Oncology. 2021; 28(6):4929-4937. https://doi.org/10.3390/curroncol28060413

Chicago/Turabian Style

Girnyi, Sergii, Marcin Ekman, Luigi Marano, Franco Roviello, and Karol Połom. 2021. "Complete Mesogastric Excisions Involving Anatomically Based Concepts and Embryological-Based Surgeries: Current Knowledge and Future Challenges" Current Oncology 28, no. 6: 4929-4937. https://doi.org/10.3390/curroncol28060413

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