ArticleWorld journal of gastroenterology2020
Optimal proximal resection margin distance for gastrectomy in advanced gastric cancer.
Article in World journal of gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A systematic review of minimal length of lroximal margin in gastric adenocarcinoma resection.Langenbeck's archives of surgery · 2023Pooled it
- Appropriate Proximal Resection Margin Distance for Esophagogastric Junction Adenocarcinoma.Annals of surgical oncology · 2026Article
- Long-term survival of gastric cancer patients with positive intraoperative frozen section margins: a single-cohort analysis.Korean journal of clinical oncology · 2025Article
- LaparoscopicCancers · 2025Article
- Super Subtotal Gastrectomy: A Novel Reconstruction Concept for Upper Gastric Cancer That Preserves the Fornix.Annals of gastroenterological surgery · 2025Article
- Esophagojejunostomy using a circular stapler vs. a linear stapler for gastric cardia cancer patients: impact of upper margin length and tumor size on the survival rate.Frontiers in surgery · 2024Article
- Development and evaluation of RFID-integrated endoscopic clips for laparoscopic surgery marking.PloS one · 2024Article
- A shorter distal resection margin is a surrogate marker of nodal metastasis and poor prognosis in distal gastrectomy for advanced gastric cancer.BMC cancer · 2023Article
- Current standards of surgical management of gastric cancer: an appraisal.Langenbeck's archives of surgery · 2023Review
- Changes in Oncological Surgical Principles Driven by Advances in Preoperative Treatments.Therapeutics and clinical risk management · 2023Article
- Review
- Review
- Impact of Surgical Margins on Overall Survival after Gastrectomy for Gastric Cancer: A Validation of Japanese Gastric Cancer Association Guidelines on a Western Series.Annals of surgical oncology · 2022Article
- Minimum Esophageal Resection Length to Ensure Negative Proximal Margin in Total Gastrectomy for Gastric Cancer: A Retrospective Study.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2022Article
- Surgical Management of Gastric Cancer: A Systematic Review.Journal of clinical medicine · 2021Review
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe conventional guidelines to obtain a safe proximal resection margin (PRM) of 5-6 cm during advanced gastric cancer (AGC) surgery are still applied by many surgeons across the world. Several recent studies have raised questions regarding the need for such extensive resection, but without reaching consensus. This study was designed to prove that the PRM distance does not affect the prognosis of patients who undergo gastrectomy for AGC.
aimTo investigate the influence of the PRM distance on the prognosis of patients who underwent gastrectomy for AGC.
methodsElectronic medical records of 1518 patients who underwent curative gastrectomy for AGC between June 2004 and December 2007 at Asan Medical Center, a tertiary care center in Korea, were reviewed retrospectively for the study. The demographics and clinicopathologic outcomes were compared between patients who underwent surgery with different PRM distances using one-way ANOVA and Fisher's exact test for continuous and categorical variables, respectively. The influence of PRM on recurrence-free survival and overall survival were analyzed using Kaplan-Meier survival analysis and Cox proportional hazard analysis.
resultsThe median PRM distance was 4.8 cm and 3.5 cm in the distal gastrectomy (DG) and total gastrectomy (TG) groups, respectively. Patient cohorts in the DG and TG groups were subdivided into different groups according to the PRM distance; ≤ 1.0 cm, 1.1-3.0 cm, 3.1-5.0 cm and > 5.0 cm. The DG and TG groups showed no statistical difference in recurrence rate (23.5%
conclusionThe distance of PRM is not a prognostic factor for patients who undergo curative gastrectomy for AGC.
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