Clinical analysis of combined resection for T4 gastric cancer: report of 69 cases / 中华外科杂志
Chinese Journal of Surgery
;
(12): 594-596, 2003.
Article
in Chinese
| WPRIM
| ID: wpr-299981
ABSTRACT
<p><b>OBJECTIVE</b>To evaluate the effect of combined resection for the treatment of T(4) gastric cancer and to refine the indication for en bloc dissection.</p><p><b>METHODS</b>Clinical data of 69 cases receiving combined resection were analyzed retrospectively, and compared with those of 45 cases undergoing palliative gastrectomy.</p><p><b>RESULTS</b>Of 69 cases, 54 patients underwent curative combined resection, 15 patients underwent palliative combined resection, including 24 with transverse colectomy, 22 with pancreatico-splenectomy, 8 with left lateral lobectomy of liver, 6 with pancreatico-splenectomy and transverse colectomy, 5 with pancreaticoduodenectomy, 2 with cholecystectomy, 1 with splenectomy, 1 with phrenectomy. The total rate of lymph node metastasis was 88.4%; the operative mortality rate was 4.3%; the morbidity rate was 14.5%. The postoperatively 1-, 3-, 5-year survival rates of CR group and NCR group were 66.9%, 39.1%, 26.8% and 33.4%, 7.4%, 0% respectively (P < 0.01). The five year survival rate of curative resection group was 34.1%.</p><p><b>CONCLUSIONS</b>An en bloc combined resection can cure some T(4) patients, and improve the five-year survival rate.</p>
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pancreatectomy
/
Pathology
/
Prognosis
/
Stomach Neoplasms
/
General Surgery
/
Survival Analysis
/
Retrospective Studies
/
Follow-Up Studies
/
Treatment Outcome
/
Gastrectomy
Type of study:
Observational study
/
Prognostic study
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Male
Language:
Chinese
Journal:
Chinese Journal of Surgery
Year:
2003
Type:
Article
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