55 In addition, there are some ongoing RCTs of HIPEC, and a clear trend in HIPEC trial design involves changing from therapeutic toward preventive indications. 56 In the present study, we found that palliative gastrectomy combined with chemotherapy was more advantageous compared with chemotherapy alone in incurable advanced gastric cancer patients, including in different races, but also in peritoneal metastases and hepatic metastases.
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Palliative gastrectomy plus chemotherapy versus chemotherapy alone for incurable advanced gastric cancer: a meta-analysis.
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