Bursectomy at radical gastrectomy

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dc.authoridKayaalp, Cuneyt/0000-0003-4657-2998
dc.authorwosidKayaalp, Cuneyt/AAH-1764-2021
dc.contributor.authorKayaalp, Cuneyt
dc.date.accessioned2024-08-04T20:57:19Z
dc.date.available2024-08-04T20:57:19Z
dc.date.issued2015
dc.departmentİnönü Üniversitesien_US
dc.description.abstractRadical gastrectomy with extended lymph node dissection and prophylactic resection of the omentum, peritoneum over the posterior lesser sac, pancreas and/or spleen was advocated at the beginning of the 1960s in Japan. In time, prophylactic routine resections of the pancreas and/or spleen were abandoned because of the high incidence of postoperative complications. However, omentectomy and bursectomy continued to be standard parts of traditional radical gastrectomy. The bursa omentalis was thought to be a natural barrier against invasion of cancer cells into the posterior part of the stomach. The theoretical rationale for bursectomy was to reduce the risk of peritoneal recurrences by eliminating the peritoneum over the lesser sac, which might include free cancer cells or micrometastases. Over time, the indication for bursectomy was gradually reduced to only patients with posterior gastric wall tumors penetrating the serosa. Despite its theoretical advantages, its benefit for recurrence or survival has not been proven yet. The possible reasons for this inconsistency are discussed in this review. In conclusion, the value of bursectomy in the treatment of gastric cancer is still under debate and large-scale randomized studies are necessary. Until clear evidence of patient benefit is obtained, its routine use cannot be recommended.en_US
dc.identifier.doi10.4240/wjgs.v7.i10.249
dc.identifier.endpage253en_US
dc.identifier.issn1948-9366
dc.identifier.issue10en_US
dc.identifier.pmid26523213en_US
dc.identifier.startpage249en_US
dc.identifier.urihttps://doi.org/10.4240/wjgs.v7.i10.249
dc.identifier.urihttps://hdl.handle.net/11616/102512
dc.identifier.volume7en_US
dc.identifier.wosWOS:000363922200005en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBaishideng Publishing Group Incen_US
dc.relation.ispartofWorld Journal of Gastrointestinal Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectGastric canceren_US
dc.subjectGastrectomyen_US
dc.subjectBursectomyen_US
dc.subjectOmentumen_US
dc.subjectPancreasen_US
dc.titleBursectomy at radical gastrectomyen_US
dc.typeReview Articleen_US

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