Department of Surgery, University Hospital of Larissa, Larissa, Greece.
Department of Surgery, University Hospital of Larissa, Larissa, Greece
In Vivo. 2022 Sep-Oct;36(5):2014-2019. doi: 10.21873/invivo.12927.
Gastric cancer is quite a common type of cancer, with significant associated mortality. Traditionally, combined resections of affected organs have been advocated in cases of locally advanced gastric cancer, in order to achieve an R0 resection. The purpose of the present study was to evaluate the role of pancreatectomy in the treatment of gastric cancer invading the pancreas by reviewing the relevant literature. The oncological benefits to survival rates of multivisceral resection are not always obvious from the relevant survival charts, especially when the pancreas is the organ invaded by the gastric cancer and gastrectomy needs to be combined with a pancreatectomy, an operation with high morbidity rates. In conclusion, careful patient selection is essential to achieving optimal results, balancing the oncological benefits in these properly selected patients against the associated morbidity of extensive resection.
胃癌是一种常见的癌症，死亡率相当高。传统上，对于局部进展期胃癌，提倡联合切除受累器官，以实现 R0 切除。本研究旨在通过复习相关文献，评估胰腺切除术在治疗侵犯胰腺的胃癌中的作用。从相关的生存图表中，多脏器切除术对生存率的肿瘤学获益并不总是明显的，尤其是当胰腺是被胃癌侵犯的器官，并且需要胃切除术联合胰腺切除术时，这种手术的发病率很高。总之，仔细选择患者对于获得最佳结果至关重要，需要权衡这些选择合适的患者的肿瘤学获益与广泛切除的相关发病率。
