Development of membrane anatomy theory in gastric cancer surgery.
10.3760/cma.j.cn441530-20230419-00127
- Author:
Da Xing XIE
1
;
Jie SHEN
1
;
Wei jian MENG
1
;
Jian Ping GONG
1
Author Information
1. Department of Gastrointestinal Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
- Publication Type:Journal Article
- MeSH:
Humans;
Stomach Neoplasms/pathology*;
Gastrectomy/methods*;
Laparoscopy/methods*;
Lymph Node Excision/methods*;
Mesentery/surgery*
- From:
Chinese Journal of Gastrointestinal Surgery
2023;26(7):707-712
- CountryChina
- Language:Chinese
-
Abstract:
In the past decade, the concept of membrane anatomy has been gradually applied in gastric cancer surgery. Based on this theory, D2 lymphadenectomy plus complete mesogastric excision (D2+CME) has been proposed, which has been demonstrated to significantly reduce intraoperative bleeding and intraperitoneal free cancer cells during surgery, decrease surgical complications, and improve survival. These results indicate that membrane anatomy is feasible and efficacious in gastric cancer surgery. In this review, we will describe the important contents of membrane anatomy, including "Metastasis V"(2013, 2015), proximal segmentation of dorsal mesogastrium (2015), D2+CME procedure (2016), "cancer leak"(2018), and surgical outcomes of D2+CME (2022).
