{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T22:36:35Z","timestamp":1793831795588,"version":"4.6.1"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T00:00:00Z","timestamp":1770595200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T00:00:00Z","timestamp":1773360000000},"content-version":"vor","delay-in-days":32,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Surg"],"DOI":"10.1186\/s12893-026-03533-8","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T09:04:19Z","timestamp":1770627859000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Does total omentectomy increase survival in laparoscopic gastric cancer surgery? A retrospective study"],"prefix":"10.1186","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4590-4850","authenticated-orcid":false,"given":"H\u00fcseyin","family":"Kocaaslan","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3471-8726","authenticated-orcid":false,"given":"Cengiz","family":"Ceylan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0557-1369","authenticated-orcid":false,"given":"Fatih","family":"S\u00fcmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-5728-8601","authenticated-orcid":false,"given":"Zeynep","family":"Kocaaslan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8237-6121","authenticated-orcid":false,"given":"Cemalettin","family":"Ayd\u0131n","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,9]]},"reference":[{"key":"3533_CR1","doi-asserted-by":"crossref","unstructured":"Siegel RL, Kratzer TB, Giaquinto AN, Sung H, Jemal A. Cancer statistics, 2025. CA Cancer J Clin. 2025;75(1):10\u201345.","DOI":"10.3322\/caac.21871"},{"key":"3533_CR2","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10120-020-01042-y","volume":"24","author":"Japenese Gastric Cancer Association","year":"2021","unstructured":"Japenese Gastric Cancer Association. Japanese gastric cancer treatment guidelines 2018. Gastric Cancer. 2021;24:1\u201321.","journal-title":"Gastric Cancer"},{"key":"3533_CR3","unstructured":"NCCN Clinical. Practice Guidelines in Oncology-gastric cancer (2020 Version I) [DB\/OL]."},{"key":"3533_CR4","doi-asserted-by":"publisher","first-page":"v38","DOI":"10.1093\/annonc\/mdw350","volume":"27","author":"EC Smyth","year":"2016","unstructured":"Smyth EC, Verheij M, Allum W, Cunningham D, Cervantes A, Arnold D, et al. Gastric cancer: ESMO clinical practice guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2016;27:v38\u201349.","journal-title":"Ann Oncol"},{"key":"3533_CR5","doi-asserted-by":"publisher","first-page":"5715","DOI":"10.1007\/s13277-016-4887-3","volume":"37","author":"J Liu","year":"2016","unstructured":"Liu J, Geng X, Li Y. Milky spots: omental functional units and hotbeds for peritoneal cancer metastasis. Tumor Biol. 2016;37:5715\u201326.","journal-title":"Tumor Biol"},{"issue":"8","key":"3533_CR6","doi-asserted-by":"publisher","first-page":"108110","DOI":"10.4240\/wjgs.v17.i8.108110","volume":"17","author":"E Ilhan","year":"2025","unstructured":"Ilhan E, Yildirim M. Current debate in gastric cancer surgery: omentectomy? World J Gastrointest Surg. 2025;17(8):108110.","journal-title":"World J Gastrointest Surg"},{"key":"3533_CR7","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1002\/(SICI)1097-0185(199602)244:2<235::AID-AR11>3.0.CO;2-Q","volume":"244","author":"E Van Vugt","year":"1996","unstructured":"Van Vugt E, Van Rijthoven EA, Kamperdijk EW, Beelen RH. Omental milky spots in the local immune response in the peritoneal cavity of rats. Anat Rec. 1996;244:235\u201345.","journal-title":"Anat Rec"},{"key":"3533_CR8","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1007\/s10120-012-0198-6","volume":"16","author":"S Hasegawa","year":"2013","unstructured":"Hasegawa S, Et. Omentum-preserving gastrectomy for advanced gastric cancer: A propensity-matched retrospective cohort study. Gastric Cancer. 2013;16:383\u20138.","journal-title":"Gastric Cancer"},{"key":"3533_CR9","doi-asserted-by":"publisher","first-page":"214","DOI":"10.1093\/jjco\/hys208","volume":"43","author":"S Hasegawa","year":"2013","unstructured":"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. 2013;43:214\u20136.","journal-title":"Jpn J Clin Oncol"},{"issue":"1","key":"3533_CR10","doi-asserted-by":"publisher","first-page":"50","DOI":"10.1093\/bjs\/znac373","volume":"110","author":"Y Kurokawa","year":"2022","unstructured":"Kurokawa Y, Doki Y, Mizusawa J, et al. Five-year follow-up of a randomized clinical trial comparing bursectomy and omentectomy alone for resectable gastric cancer (JCOG1001). Br J Surg. 2022;110(1):50\u20136.","journal-title":"Br J Surg"},{"issue":"5","key":"3533_CR11","doi-asserted-by":"publisher","first-page":"1281","DOI":"10.1016\/j.surg.2021.10.052","volume":"171","author":"HW Lin","year":"2022","unstructured":"Lin HW, Loh EW, Shen SC, Tam KW. Gastrectomy with or without omentectomy for gastric cancer: A systematic review and meta-analysis. Surgery. 2022;171(5):1281\u20139.","journal-title":"Surgery"},{"key":"3533_CR12","first-page":"169","volume":"6","author":"C Platell","year":"2000","unstructured":"Platell C, Cooper D, Papadimitriou JM, Hall JC. The omentum. World J Gastroenterol. 2000;6:169\u201376.","journal-title":"World J Gastroenterol"},{"key":"3533_CR13","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1002\/bjs.1800780135","volume":"78","author":"RJ Lawrance","year":"1991","unstructured":"Lawrance RJ, Loizidou M, Cooper AJ, Alexander P, Taylor I. Importance of the omentum in the development of intraabdominal metastases. Br J Surg. 1991;78:117\u20139.","journal-title":"Br J Surg"},{"key":"3533_CR14","doi-asserted-by":"publisher","first-page":"319","DOI":"10.1007\/BF01753578","volume":"6","author":"JL Weese","year":"1988","unstructured":"Weese JL, Ottery FD, Emoto SE. Does omentectomy prevent malignant small bowel obstruction. Clin Exp Metastasis. 1988;6:319\u201324.","journal-title":"Clin Exp Metastasis"},{"issue":"19","key":"3533_CR15","doi-asserted-by":"publisher","first-page":"4971","DOI":"10.3390\/cancers13194971","volume":"13","author":"SW Chai","year":"2021","unstructured":"Chai SW, Wang SH, Wang CY, Chen YC, Soong RS, Huang TS. Partial versus total omentectomy in patients with gastric cancer: A systemic review and Meta-Analysis. Cancers (Basel). 2021;13(19):4971. https:\/\/doi.org\/10.3390\/cancers13194971.","journal-title":"Cancers (Basel)"},{"key":"3533_CR16","doi-asserted-by":"publisher","first-page":"287","DOI":"10.1016\/j.jss.2021.02.033","volume":"264","author":"M Ishizuka","year":"2021","unstructured":"Ishizuka M, Shibuya N, Takagi K, Hachiya H, Tago K, Matsumoto T, Shimizu T, Aoki T, Kubota K. Omentectomy does not affect the postoperative outcome of patients with locally advanced gastric cancer: A systematic review and Meta-Analysis. J Surg Res. 2021;264:287\u201395.","journal-title":"J Surg Res"},{"issue":"1","key":"3533_CR17","doi-asserted-by":"publisher","first-page":"e1425","DOI":"10.1590\/0102-672020180001e1425","volume":"32","author":"LC Barchi","year":"2019","unstructured":"Barchi LC, Ramos MFKP, Dias AR, Yagi OK, Ribeiro-J\u00fanior U, Zilberstein B, Cecconello I. Total omentectomy in Gastr\u0131c cancer surgery: is it always necessary? Arq Bras Cir Dig. 2019;32(1):e1425.","journal-title":"Arq Bras Cir Dig"},{"key":"3533_CR18","doi-asserted-by":"publisher","first-page":"4681","DOI":"10.2147\/IJGM.S434090","volume":"16","author":"M Song","year":"2023","unstructured":"Song M, Jiang Y, Liu Y, Li Z. Safety and efficacy of partial omentectomy in laparoscopic distal gastrectomy for pT3-T4a stage gastric cancer. Int J Gen Med. 2023;16:4681\u201390.","journal-title":"Int J Gen Med"},{"key":"3533_CR19","doi-asserted-by":"publisher","first-page":"594","DOI":"10.1007\/s00535-016-1254-5","volume":"52","author":"JH Pyo","year":"2017","unstructured":"Pyo JH, Lee H, Min BH, Lee JH, Choi MG, Lee JH, et al. Early gastric cancer with a Mixed-Type Lauren classification is more aggressive and exhibits greater lymph node metastasis. J Gastroenterol. 2017;52:594\u2013601.","journal-title":"J Gastroenterol"},{"key":"3533_CR20","doi-asserted-by":"publisher","first-page":"897218","DOI":"10.3389\/fonc.2022.897218","volume":"12","author":"L Marano","year":"2022","unstructured":"Marano L, Ambrosio MR, Resca L, et al. The percentage of signet ring cells is inversely related to aggressive behavior and poor prognosis in Mixed-Type gastric cancer. Front Oncol. 2022;12:897218.","journal-title":"Front Oncol"},{"issue":"12","key":"3533_CR21","doi-asserted-by":"publisher","first-page":"1640","DOI":"10.1002\/bjs.11702","volume":"107","author":"M Ri","year":"2020","unstructured":"Ri M, Nunobe S, Honda M, et al. Gastrectomy with or without omentectomy for cT3-4 gastric cancer: a multicentre cohort study. Br J Surg. 2020;107(12):1640\u20137.","journal-title":"Br J Surg"},{"key":"3533_CR22","doi-asserted-by":"publisher","first-page":"708545","DOI":"10.3389\/fsurg.2021.708545","volume":"8","author":"YX Zhang","year":"2021","unstructured":"Zhang YX, Liu HD, Chen ZH, Jin T, Hu JK, Yang K. Comparison of survival and safety between total omentectomy and partial omentectomy for gastric cancer: A Meta-Analysis. Front Surg. 2021;8:708545.","journal-title":"Front Surg"},{"issue":"10","key":"3533_CR23","doi-asserted-by":"publisher","first-page":"966","DOI":"10.1016\/j.crad.2011.05.006","volume":"66","author":"JY Oh","year":"2011","unstructured":"Oh JY, Cho JH, Kang MJ, Lee JH, Kwon HJ, Nam KJ, Kim MC, Choi H. Omental infarction caused by laparoscopy-assisted gastrectomy for gastric cancer: CT Fndings. Clin Radiol. 2011;66(10):966\u201373.","journal-title":"Clin Radiol"},{"issue":"1","key":"3533_CR24","doi-asserted-by":"publisher","first-page":"46","DOI":"10.5230\/jgc.2012.12.1.46","volume":"12","author":"SH Jeong","year":"2012","unstructured":"Jeong SH, Lee YJ, Kim DC, Bae K, Choi SK, Hong SC, Jung EJ, Ju YT, Jeong CY, Ha WS. Diagnosis of a trocar site mass as omental herniation after laparoscopic gastrectomy. J Gastric Cancer. 2012;12(1):46\u20138.","journal-title":"J Gastric Cancer"},{"issue":"8","key":"3533_CR25","doi-asserted-by":"publisher","first-page":"1952","DOI":"10.1007\/s00268-022-06562-5","volume":"46","author":"M Kong","year":"2022","unstructured":"Kong M, Chen H, Zhang R, Sheng H, Li L. Overall survival advantage of omentum preservation over omentectomy for advanced gastric cancer: A systematic review and Meta-Analysis. World J Surg. 2022;46(8):1952\u201361.","journal-title":"World J Surg"},{"key":"3533_CR26","doi-asserted-by":"publisher","first-page":"610","DOI":"10.1016\/j.surg.2021.02.008","volume":"170","author":"WJ Seo","year":"2021","unstructured":"Seo WJ, Choi S, Roh CK, Cho M, Kim YM, Kim HI, Hyung WJ. Omentum preservation as an oncologically comparable and surgically superior alternative to total omentectomy during radical gastrectomy for T3-T4 gastric cancer. Surgery. 2021;170:610\u20136.","journal-title":"Surgery"},{"issue":"1","key":"3533_CR27","doi-asserted-by":"publisher","first-page":"346","DOI":"10.1186\/s12876-021-01921-3","volume":"21","author":"A Zhu","year":"2021","unstructured":"Zhu A, Yin G, Liu X, Kong W, Zhang Y, Shan Y, Ying R, Zhang J, Zhou C. Efficiency of complete omentectomy in patients with resectable gastric cancer: a meta-analysis and systematic review. BMC Gastroenterol. 2021;21(1):346.","journal-title":"BMC Gastroenterol"}],"container-title":["BMC Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12893-026-03533-8","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-026-03533-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12893-026-03533-8.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T11:01:32Z","timestamp":1773399692000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1186\/s12893-026-03533-8"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,9]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2026,12]]}},"alternative-id":["3533"],"URL":"https:\/\/doi.org\/10.1186\/s12893-026-03533-8","relation":{},"ISSN":["1471-2482"],"issn-type":[{"value":"1471-2482","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,9]]},"assertion":[{"value":"9 July 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 January 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"9 February 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This retrospective study was approved by the Ethics Committee of In\u00f6n\u00fc University (Ethics Approval No.:2024\/5500, and informed consent was obtained from all patients. The study was conducted in accordance with the ethical principles outlined in the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"191"}}