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 journalArticlepeer-review

20 Scopus citations


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
StatePublished - Dec 1 2015

ASJC Scopus subject areas

  • Surgery
  • Oncology


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