Mesogastrium: A fifth route of metastasis in gastric cancer?

Correspondence

“…The difference between CMG and regular D2 gastrectomy is defined by more than just the characteristics of gastrectomy or lymphadenectomy. Comprising a wide breadth of concepts including, but not limited to, recognition of the mesogastrium, cancer cell leakage and the metastasis V theory, CMG is also aided by membrane anatomy and recognition of the mesentery as an organ. In my opinion, CMG is a path bridging D2 gastrectomy and the mesentery.…”

Detection of carcinoembryonic antigen in peritoneal fluid of patients undergoing laparoscopic distal gastrectomy with complete mesogastric excision

“…Previous studies have demonstrated the presence of cancer cells in the mesogastrium. As a consequence, laparoscopic D2 lymphadenectomy plus complete mesogastric excision (D2 + CME) was proposed as a new concept in the surgical treatment of advanced gastric cancer.…”

Mesopancreas in Pancreatic Cancer: Where do We Stand – Review of Literature

“…This concept of applied embryology and anatomy was introduced to various organs to increase rate of negative margins of resection. Mesopancreas, mesogastrium, mesoesophagus, mesohepatectomy and mesometria were described based on postulates in analogy with mesorectum [13][14][15][16][17]. Whether these descriptions and further refinement in surgical technique based on these postulates will give better results or not is not yet known.…”