Usefulness of staging laparoscopy for advanced gastric cancer

被引：26

作者：

Shimizu, Hiroki ^{[1
]}

Imamura, Hiroshi ^{[2
]}

Ohta, Katsuya ^{[2
]}

Miyazaki, Yasuhiro

Kishimoto, Tomono ^{[2
]}

Fukunaga, Mutsumi ^{[2
]}

Ohzato, Hiroki ^{[2
]}

Tatsuta, Masayuki ^{[2
]}

Furukawa, Hiroshi ^{[2
]}

机构：

[1] Japanese Red Cross Kyoto Daiichi Hosp, Dept Surg, Higashiyama Ku, Kyoto 6050981, Japan

[2] Sakai Municipal Hosp, Dept Surg, Osaka, Japan

来源：

SURGERY TODAY | 2010年 / 40卷 / 02期

关键词：

Advanced gastric cancer; Staging laparoscopy; Peritoneal cytology; Neoadjuvant chemotherapy; Surgery; PROGNOSTIC VALUE; CYTOLOGY; MANAGEMENT; CARCINOMA; CISPLATIN;

D O I：

10.1007/s00595-009-4017-6

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

The aim of this study was to clarify the usefulness of staging laparoscopy for planning the treatment strategy in patients with advanced gastric cancer. This was a retrospective study of patients with gastric cancer who underwent staging laparoscopy. The patients were divided into three groups according to the presence/absence of peritoneal metastasis (P) and positive peritoneal cytology (CY): P negative (0) CY0, P0CY positive (1), and P1CY1. The treatment strategy after staging laparoscopy was as follows: (1) surgery for the P0CY0 group, (2) surgery with neoadjuvant chemotherapy (NAC) for the P0CY1 group, and (3) chemotherapy for the P1CY1 group. Survival was estimated by the Kaplan-Meier method and statistical differences were analyzed by the log-rank test. Thirty-four patients were included in this study: 11 in the P0CY0 group, 13 in the P0CY1 group, and 10 in the P1CY1 group. A gastrectomy was done in 11, 10, and no patients, respectively. The survival rate of the P0CY0 patients was significantly better than that of the P0CY1 or P1CY1 patients (P = 0.0106 and 0.0031, respectively). Staging laparoscopy is useful for planning the treatment strategy and estimating the prognosis of patients with advanced gastric cancer.

引用

页码：119 / 124

页数：6

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