Reoperation of Recurrent Gastric Cancer / Journal of the Korean Cancer Association, 대한암학회지
Cancer Research and Treatment
;
: 478-482, 2001.
Article
in Korean
| WPRIM
| ID: wpr-92754
ABSTRACT
PURPOSE:
The aim of this study was to evaluate the outcome of reoperation in recurrent gastric cancers. MATERIALS ANDMETHODS:
We conducted a retrospective analysis of 86 patients who underwent reoperation for recurrent gastric cancer. We reviewed the time interval between first operation and reoperation, as well as the recurrence pattern, type of reoperation, and survival following reoperation.RESULTS:
the average time to reoperation following curative resection was 27.8+/-25.9 months (median 18.4 months). Fifty-three cases (61.6%) of reoperation were performed within 2 years follwoing the first operation. The most common reason for reoperation was intestinal obstruction followed by gastric remnant recurrence and intra-abdominal mass. Complete resection was possible in 14 cases (16.3%) and a palliative procedure such as partial resection or bypass procedures was performed in 54 cases. In 18 cases (20.9%), simple lapalotomy was done without any aid. The most common site of recurrence was the peritoneum followed by the gastric remnant, distant lymph node and hematogenous liver metastasis. Operative mortality was 10.5%. Excluding the 9 cases of operative mortality, the mean survival time after reoperation was 15.4+/-2.5 months (mean 8.6 months). Survival following complete resection was much longer than palliative procedure and exploration only (37.9+/-8.7 vs 10.9+/-1.5 vs 4.7+/-0.8 months, p=0.000)Conclusion:
The complete resection of recurrent gastric cancer can prolong survival. Early detection of localized recurrence is important in order to increase the chance of complete resection.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritoneum
/
Recurrence
/
Reoperation
/
Stomach Neoplasms
/
Survival Rate
/
Retrospective Studies
/
Mortality
/
Gastric Stump
/
Intestinal Obstruction
/
Liver
Type of study:
Observational study
/
Prognostic study
/
Screening study
Limits:
Humans
Language:
Korean
Journal:
Cancer Research and Treatment
Year:
2001
Type:
Article
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