{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T17:37:42Z","timestamp":1761154662896},"reference-count":16,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1995,7,1]],"date-time":"1995-07-01T00:00:00Z","timestamp":804556800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1995,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>In the area of radical surgical treatment of gastric carcinoma, extended or multiorgan resection is\u2014as is systematically extended lymph node dissection\u2014becoming increasingly important. One indication for extended gastrectomy is intramural or transmural infiltration of neighboring organs or the gross presence of metastatic involvement of the lymph nodes associated with the celiac trunk, splenic artery, or splenic hilum. Because the mortality rate associated with extended gastrectomy is hardly any higher than that for nonextended gastrectomy, the indication for the former may be generously applied. The prognostically most unfavorable case is histologic evidence of transmural infiltration of neighboring organs (pT4). Multiorgan resection with improved systematic extension of lymph node dissection is of greatest benefit to patients with inflammatory adhesion of the stomach to neighboring organs or pN2 lymph node metastases. Intramural infiltration of the esophagus can be treated by including the thoracic part of the esophagus in the gastric resection done via an abdominothoracic approach, ensuring an appropriate margin of clearance, with no significant worsening of the prognosis.<\/jats:p>","DOI":"10.1007\/bf00294716","type":"journal-article","created":{"date-parts":[[2004,10,6]],"date-time":"2004-10-06T08:54:55Z","timestamp":1097052895000},"page":"541-545","source":"Crossref","is-referenced-by-count":8,"title":["Extended gastrectomy: Who benefits?"],"prefix":"10.1002","volume":"19","author":[{"given":"F.","family":"K\u00f6ckerling","sequence":"first","affiliation":[{"name":"Department of Surgery University of Erlangen Maximiliansplatz 1 D\u201091054 Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T.","family":"Reck","sequence":"additional","affiliation":[{"name":"Department of Surgery University of Erlangen Maximiliansplatz 1 D\u201091054 Erlangen Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F. 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