Multivisceral Resection for Gastric Cancer: Results from the US Gastric Cancer Collaborative

Thuy B. Tran, David J. Worhunsky, Jeffrey A. Norton, Malcolm Hart Squires, Linda X. Jin, Gaya Spolverato, Konstantinos I. Votanopoulos, Carl Schmidt, Sharon Weber, Mark Bloomston, Clifford S. Cho, Edward A. Levine, Ryan C. Fields, Timothy M. Pawlik, Shishir K. Maithel, George A. Poultsides

Research output: Contribution to journalArticle

Abstract

Background: Resection of an adjacent organ during gastrectomy for gastric cancer is occasionally necessary to achieve margin clearance. The short- and long-term outcomes of this approach remain unclear. Methods: Patients who underwent gastric cancer resection in seven U.S. academic institutions from 2000 to 2012 were evaluated to compare perioperative morbidity, mortality, and survival outcomes, stratified by the need for and type of multivisceral resection (MVR). Results: Of 835 patients undergoing curative-intent gastrectomy, 159 (19 %) had MVR. The most common adjacent organs resected were the spleen (48 %), pancreas (27 %), liver segments 2/3 (14 %), and colon (13 %). As extent of resection increased (gastrectomy only, n = 676; MVR without pancreatectomy, n = 116; and MVR with pancreatectomy, n = 43), perioperative morbidity was higher: any complication (45, 60, 59 %, p = 0.012), major complication (17, 31, 33 %, p = 0.001), anastomotic leak (5, 11, 19 %, p 

Original languageEnglish (US)
Pages (from-to)840-847
Number of pages8
JournalAnnals of Surgical Oncology
Volume22
DOIs
StatePublished - Dec 1 2015

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Gastrectomy
Stomach Neoplasms
Pancreatectomy
Morbidity
Anastomotic Leak
Pancreas
Colon
Spleen
Survival
Mortality
Liver

ASJC Scopus subject areas

  • Surgery
  • Oncology

Cite this

Tran, T. B., Worhunsky, D. J., Norton, J. A., Squires, M. H., Jin, L. X., Spolverato, G., ... Poultsides, G. A. (2015). Multivisceral Resection for Gastric Cancer: Results from the US Gastric Cancer Collaborative. Annals of Surgical Oncology, 22, 840-847. https://doi.org/10.1245/s10434-015-4694-x

Multivisceral Resection for Gastric Cancer : Results from the US Gastric Cancer Collaborative. / Tran, Thuy B.; Worhunsky, David J.; Norton, Jeffrey A.; Squires, Malcolm Hart; Jin, Linda X.; Spolverato, Gaya; Votanopoulos, Konstantinos I.; Schmidt, Carl; Weber, Sharon; Bloomston, Mark; Cho, Clifford S.; Levine, Edward A.; Fields, Ryan C.; Pawlik, Timothy M.; Maithel, Shishir K.; Poultsides, George A.

In: Annals of Surgical Oncology, Vol. 22, 01.12.2015, p. 840-847.

Research output: Contribution to journalArticle

Tran, TB, Worhunsky, DJ, Norton, JA, Squires, MH, Jin, LX, Spolverato, G, Votanopoulos, KI, Schmidt, C, Weber, S, Bloomston, M, Cho, CS, Levine, EA, Fields, RC, Pawlik, TM, Maithel, SK & Poultsides, GA 2015, 'Multivisceral Resection for Gastric Cancer: Results from the US Gastric Cancer Collaborative', Annals of Surgical Oncology, vol. 22, pp. 840-847. https://doi.org/10.1245/s10434-015-4694-x
Tran, Thuy B. ; Worhunsky, David J. ; Norton, Jeffrey A. ; Squires, Malcolm Hart ; Jin, Linda X. ; Spolverato, Gaya ; Votanopoulos, Konstantinos I. ; Schmidt, Carl ; Weber, Sharon ; Bloomston, Mark ; Cho, Clifford S. ; Levine, Edward A. ; Fields, Ryan C. ; Pawlik, Timothy M. ; Maithel, Shishir K. ; Poultsides, George A. / Multivisceral Resection for Gastric Cancer : Results from the US Gastric Cancer Collaborative. In: Annals of Surgical Oncology. 2015 ; Vol. 22. pp. 840-847.
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AU - Squires, Malcolm Hart

AU - Jin, Linda X.

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AU - Cho, Clifford S.

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