Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Research
  • Published:
Journal of Gastrointestinal Cancer Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Kim M-C, Kim K-H, Jung GJ, Rattner DW. Comparative study of complete and partial omentectomy in radical subtotal gastrectomy for early gastric cancer. Yonsei Med J. 2011;52(6):961–6.

    Article  Google Scholar 

  2. Hu B, El Hajj N, Sittler S, Lammert N, Barnes R, Meloni-Ehrig A. Gastric cancer: classification, histology and application of molecular pathology. J Gastrointest Oncol. 2012;3(3):251–61.

    PubMed  PubMed Central  Google Scholar 

  3. Namikawa T, Hanazaki K. Clinicopathological features of early gastric cancer with duodenal invasion. World J Gastroenterol: WJG. 2009;15(19):2309–13.

    Article  Google Scholar 

  4. Haverkamp L, Brenkman HJ, Ruurda JP, Ten Kate FJ, van Hillegersberg R. The oncological value of omentectomy in gastrectomy for cancer. J Gastrointest Surg. 2016;20(5):885–90.

    Article  Google Scholar 

  5. Sobin LH, Gospodarowicz MK, Wittekind C (Eds.), TNM Classification of Malignant Tumours (Seventh Edition), Wiley-Liss, New York (2011), pp. 99-103

  6. Association JGC. Japanese gastric cancer treatment guidelines 2014 (ver. 4). Gastric Cancer. 2017;20(1):1–19.

    Article  Google Scholar 

  7. Ibrahim AS, Khaled HM, Mikhail NN, Baraka H, Kamel H. Cancer incidence in Egypt: results of the national population-based cancer registry program. J Cancer Epidemiol. 2014;2014:1–18.

    Article  Google Scholar 

  8. Hasegawa S, Kunisaki C, Ono H, Oshima T, Fujii S, Taguri M, et al. Omentum-preserving gastrectomy for advanced gastric cancer: a propensity-matched retrospective cohort study. Gastric Cancer. 2013;16(3):383–8.

    Article  Google Scholar 

  9. Hasegawa S, Yamamoto Y, Taguri M, Morita S, Sato T, Yamada R, et al. A randomized phase II trial of omentum-preserving gastrectomy for advanced gastric cancer. Jpn J Clin Oncol. 2012;43(2):214–6.

    Article  Google Scholar 

  10. Oh J, Cho J, Kang M, Lee J, Kwon H, Nam K, et al. Omental infarction caused by laparoscopy-assisted gastrectomy for gastric cancer: CT findings. Clin Radiol. 2011;66(10):966–73.

    Article  CAS  Google Scholar 

  11. Koppe MJ, Nagtegaal ID, de Wilt JH, Ceelen WP. Recent insights into the pathophysiology of omental metastases. J Surg Oncol. 2014;110(6):670–5.

    Article  Google Scholar 

  12. Jongerius E, Boerma D, Seldenrijk K, Meijer S, Scheepers J, Smedts F, et al. Role of omentectomy as part of radical surgery for gastric cancer. Br J Surg. 2016;103(11):1497–503.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Surgical Oncology Unit, Oncology Center Mansoura University (OCMU), Geehan Street, Mansoura city, Dakahlia Governorate, 35516, Egypt

    Islam H Metwally, Mohamed Abdelkhalek, Mosab Shetiwy, Amr F Elalfy, Amr Abouzid, Saleh S Elbalka, Mohamed Hamdy & Ahmed Abdallah

Authors
  1. Islam H Metwally
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mohamed Abdelkhalek
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mosab Shetiwy
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Amr F Elalfy
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Amr Abouzid
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Saleh S Elbalka
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Mohamed Hamdy
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Ahmed Abdallah
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mosab Shetiwy.

Ethics declarations

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

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

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

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12029-019-00310-0

Keywords

Search

Navigation