Rational approach to the management of IV stage gastric carcinoma with hepatic metastasis / 中华胃肠外科杂志
Chinese Journal of Gastrointestinal Surgery
; (12): 440-443, 2007.
Article
em Zh
| WPRIM
| ID: wpr-336432
Biblioteca responsável:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the benefit of surgical resection on the prognosis of patients with advanced gastric carcinoma and liver metastasis.</p><p><b>METHODS</b>Data of 102 cases of advanced gastric carcinoma with liver metastases from 1993 to 2004 were studied retrospectively.</p><p><b>RESULTS</b>The half-, one- and two-year postoperative survival rates of gastric carcinoma patients with H(1) metastasis undergone palliative resections were 69%, 44% and 6% respectively, which were significantly better than those of patients not undergone resection(accepted by-pass procedure or exploratory laparotomy) (P=0.009). The half-, one- and two-year postoperative survival rates of gastric carcinoma patients with H(2) metastasis undergone palliative resections were 56%,13% and 6% respectively, which were not significantly different compared with those of patients not undergone resection(P=0.068). The half-, one- and two-year postoperative survival rates of gastric carcinoma patients with H(3) metastasis undergone palliative resections were 25%, 13% and 0, which were not significantly different compared with those of cases not undergone resection (P=0.157). Regardless of peritoneal metastases, there were no significant differences between the survival rate of resection group and that of non-resection group.</p><p><b>CONCLUSIONS</b>Gastric carcinoma patients with H(1) metastasis would benefit from palliative resection regardless of peritoneal metastasis. Gastric carcinoma patients with H(2) or H(3) metastasis are not benefit from surgical resection.</p>
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Índice:
WPRIM
Assunto principal:
Patologia
/
Prognóstico
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Neoplasias Gástricas
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Cirurgia Geral
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Taxa de Sobrevida
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Estudos Retrospectivos
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Neoplasias Hepáticas
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Metástase Neoplásica
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Estadiamento de Neoplasias
Tipo de estudo:
Observational_studies
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Prognostic_studies
Limite:
Adult
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Aged
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Female
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Humans
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Male
Idioma:
Zh
Revista:
Chinese Journal of Gastrointestinal Surgery
Ano de publicação:
2007
Tipo de documento:
Article