Comment on:"Gastric equivalent of the 'Holy Plane' to standardize the surgical concept of stomach cancer to mesogastric excision: updating Jamieson and Dobson's historic schema," Gastric cancer, 2021 Jan 2, by Hisashi Shinohara et al

Zhiping Huang; Wei Zhang

doi:10.1007/s10120-025-01638-2

Comment on:"Gastric equivalent of the 'Holy Plane' to standardize the surgical concept of stomach cancer to mesogastric excision: updating Jamieson and Dobson's historic schema," Gastric cancer, 2021 Jan 2, by Hisashi Shinohara et al

Gastric Cancer. 2025 Jun 28. doi: 10.1007/s10120-025-01638-2. Online ahead of print.

Authors

Zhiping Huang¹, Wei Zhang²

Affiliations

¹ Department of Gastric Surgery, Chongqing University Three Gorges Hospital, Wanzhou, Chongqing, 404000, China.
² Department of Gastric Surgery, Chongqing University Three Gorges Hospital, Wanzhou, Chongqing, 404000, China. wwthzhp@163.com.

PMID: 40580258
DOI: 10.1007/s10120-025-01638-2

Abstract

Over the past three decades, the implementation of the complete mesocolic excision (CME)/total mesorectal excision (TME) technique in colorectal cancer surgery has significantly reduced local recurrence rates and improved tumor-related survival outcomes. However, due to the morphological complexities of the gastric mesentery and its presence is still controversy, the concept of mesogastric excision(MGE) has yet to gain widespread acceptance in gastric cancer surgery. Nowadays, surgeons have begun to identify a dissectible loose connective-tissue layer between the lymph nodes and landmark structures through magnified images obtained during laparoscopic or robotic gastrectomy. We agree with the authors that MGE serves as a standardized concept in gastric cancer surgery.

Keywords: Fusion fascia; Gastric cancer; Mesogastrium.

Publication types

Letter
Comment