Surgical Methods in Treatment of Metastatic Gastric Cancer. Literature Review
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Keywords

review
metastatic gastric cancer
peritoneal carcinomatosis
liver-directed therapy
HIPEC
PIPAC
conversion surgery

How to Cite

Zakharenko , A. A., Vovin , K. N., Zolotukhina , A. E., Belyaev , M. A., Khamid , A. K., & Svechkova , A. A. (2024). Surgical Methods in Treatment of Metastatic Gastric Cancer. Literature Review. Voprosy Onkologii, 70(5), 826–834. https://doi.org/10.37469/0507-3758-2024-70-5-826-834

Abstract

regimens and the modernization of surgical techniques (implementation of liver-directed therapy, conversion surgery, HIPEC and PIPAC with cytoreductive surgery), the prognosis for these patients remains poor. The most common sites of distant metastases in gastric cancer are liver, peritoneum and para-aortic lymph nodes. This article summarizes the results of an analysis of publications in recent years on surgical management of metastatic gastric cancer and highlights possible treatment options for different clinical cases. The following conclusions were drawn from this study: not all cases of metastatic gastric cancer are indications for palliative chemotherapy and supportive symptomatic therapy alone. The most optimal and effective treatment is a personalized approach to each patient. Whenever possible, combination therapy, including systemic and local treatment, should be chosen.

https://doi.org/10.37469/0507-3758-2024-70-5-826-834
##article.numberofdownloads## 94
##article.numberofviews## 204
pdf (Русский)

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