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Evaluation for prognostic factors following surgical management of gastric cancer patients with hepatic cirrhosis / 한국간담췌외과학회지
Korean Journal of Hepato-Biliary-Pancreatic Surgery ; : 95-99, 2000.
Article Dans Coréen | WPRIM | ID: wpr-228012
ABSTRACT
BACKGROUNDS Prognosis following surgery of gastric cancer has markedly improved as a result of early diagnosis, advances in operative techniques and perioperative managements. However, gastrointestinal surgery in patients with hepatic cirrhosis has continued to be associated with a high operative morbidity and mortality. The purpose of this retrospective study is to evaluate the prognostic factors on postoperative morbidity and survival in gastric cancer patients with hepatic cirrhosis.

METHODS:

We analysed 24 gastric cancer patients with hepatic cirrhosis between November 1994 and October 1999 (19 patients with Child A, 5 patients with Child B) to evaluate postoperative complications and survivals.

RESULTS:

There were no significant differences in age, sex, stage, operative types, and range of dissection between Child A and B. Postoperative complications occurred more commonly in the patients with more severe hepatic cirrhosis (Child A 5/19, Child B 4/5, p<0.05). There was no significant difference in 5-year survival rates between patients with Child A and B hepatic cirrhosis. Only the stage of cancer was proved to be the most significant prognostic factor.

CONCLUSION:

Patients with gastric cancer accompanied by hepatic cirrhosis can be successfully managed surgically on the basis of an appropriate preoperative assessment of hepatic conditions, proper selection of surgical procedures, and careful perioperative management.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Complications postopératoires / Pronostic / Tumeurs de l&apos;estomac / Taux de survie / Études rétrospectives / Mortalité / Diagnostic précoce / Cirrhose du foie Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Étude de dépistage Limites du sujet: Enfant / Humains langue: Coréen Texte intégral: Korean Journal of Hepato-Biliary-Pancreatic Surgery Année: 2000 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Complications postopératoires / Pronostic / Tumeurs de l&apos;estomac / Taux de survie / Études rétrospectives / Mortalité / Diagnostic précoce / Cirrhose du foie Type d'étude: Etude diagnostique / Étude observationnelle / Étude pronostique / Étude de dépistage Limites du sujet: Enfant / Humains langue: Coréen Texte intégral: Korean Journal of Hepato-Biliary-Pancreatic Surgery Année: 2000 Type: Article