Department of Surgical Oncology, Medical University of Gdansk, 80-070 Gdansk, Poland.
Unit of General Surgery and Surgical Oncology, Department of Medicine, Surgery and Neurosciences, University of Siena, 53100 Siena, Italy.
Curr Oncol. 2021 Nov 22;28(6):4929-4937. doi: 10.3390/curroncol28060413.
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.
胃肠道恶性肿瘤的手术基于这样一种理念，即我们应该整块切除肿瘤及其淋巴引流区域。这一概念最初在直肠手术中提出，被称为全直肠系膜切除术。这一手术获得了广泛关注，并改善了直肠癌手术的肿瘤学结果。同样的理念也被应用于胃系膜和完整胃系膜切除术，但由于胃系膜的复杂性，该手术尚未成为一种标准技术。在这篇综述中，我们分析了该手术的解剖学和胚胎学因素、提出了该手术的技术要点，并纳入了这一理念的现有初步结果。我们还讨论了该手术与其他胃肠道器官的相似之处以及对这一理念的挑战。
