Publication Name	World Journal of Gastrointestinal Surgery
Manuscript ID	114982
Country	Portugal

Category	Emergency Medicine
Manuscript Type	Letter to the Editor
Article Title	At the crossroads of crisis: Navigating surgical dilemmas in perforated gastric cancer
Manuscript Source	Invited Manuscript
All Author List	Filipe Reis Neves
Funding Agency and Grant Number
Corresponding Author	Filipe Reis Neves, Department of Surgery, nstituto Português de Oncologia de Coimbra, Av. Bissaya Barreto 98, Coimbra 3000-075, Portugal. filipe.reisneves@gmail.com
Key Words	Carcinoma; Signet ring cell; Lymphatic metastasis; Mortality; Stomach neoplasms; Stomach rupture; Survival rate
Core Tip	A significant take away from the study by Aguiar et al is that patients who undergo local repair tend to have notably worse short-term outcomes and overall survival compared to those who opt for gastrectomy. These results collectively indicate that surgical resection, even in urgent situations, may offer survival advantages over conservative repair methods for certain patients. The Aguiar et al study adds relevant data to this complex decision and reinforces the decision that gastrectomy, when feasible, should be performed, as it offers significantly better survival outcomes compared to local repair alone.
Citation	Reis Neves F. At the crossroads of crisis: Navigating surgical dilemmas in perforated gastric cancer. World J Gastrointest Surg 2026; In press

Received	2025-10-09 02:25
Peer-Review Started	2025-10-09 02:25
First Decision by Editorial Office Director	2025-11-28 06:55
Return for Revision	2025-11-28 06:55
Revised	2025-12-22 22:25
Publication Fee Transferred
Second Decision by Editor	2026-02-09 02:47
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director	2026-02-09 03:26
Articles in Press	2026-02-09 03:26
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-9366 (online)
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