The conversion surgery for gastric cancer with synchronous peritoneal dissemination

The article provides an analysis of scientific publications devoted to the results of the implementation of the principle of conversion surgery in the treatment of gastric cancer with synchronous peritoneal dissemination. The importance of an integrated approach is emphasized, including the use of a combination of preoperative drug treatment with an assessment of its effect, restaging in determining indications for subsequent cytoreductive surgery in combination with hyperthermic intraperitoneal chemotherapy (HIPEC) and postoperative intraperitoneal and systemic administration of cytostatics. The advantage of active strategy of the considered category of patients (conversion surgery) for obtaining acceptable long-term treatment results and improving the prognosis of the clinical course of metastatic gastric cancer is noted.