Significance of Omental Infiltration in Gastric Cancer Patients: a Retrospective Cohort Study

Abstract

Background

Stomach cancer is a curative disease in early stages. The optimal extent and approach for gastric resection are still evolving.

Patients and Methods

In this study, we examined the value, as well as, the predictors of omental disease spread, retrospectively, in a group of patients with gastric cancer who attended the Oncology Center, Mansoura University, in the period between January 2006 and April 2017.

Results

Nodal metastasis, especially heavy disease (N2 and beyond), and advanced stage are predictors of the presence of omental disease. However, neither overall nor disease-free survival is affected by omental infiltration.

Conclusion

Omental resection will continue being an integral part of gastric resection, but the level of omental cutting needs further studies.

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Correspondence to Mosab Shetiwy.

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Approval from the Institutional Research Board (IRB) of the Faculty of Medicine of Mansoura University was obtained (Identifier: R/19.03.455).

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Metwally, I.H., Abdelkhalek, M., Shetiwy, M. et al. Significance of Omental Infiltration in Gastric Cancer Patients: a Retrospective Cohort Study. J Gastrointest Canc 51, 861–867 (2020). https://doi.org/10.1007/s12029-019-00310-0

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Keywords

  • Stomach cancer
  • Omentum
  • Gastrectomy
  • Nodal spread
  • Survival