Combined resection of invaded organs in patients with T4 gastric carcinoma

被引：42

作者：

Saito H. ^{[1
]}

Tsujitani S. ^{[1
]}

Maeda Y. ^{[1
]}

Fukuda K. ^{[1
]}

Yamaguchi K. ^{[1
]}

Ikeguchi M. ^{[1
]}

Maeta M. ^{[1
]}

Kaibara N. ^{[1
]}

机构：

[1] First Department of Surgery, Faculty of Medicine, Tottori University, Yonago 683-8504

来源：

Gastric Cancer | 2001年 / 4卷 / 4期

关键词：

Combined resection; Gastric carcinoma; Survival;

D O I：

10.1007/s10120-001-8011-y

中图分类号：

学科分类号：

摘要：

Background. To understand the efficacy of gastrectomy combined with the resection of other organs and to refine the indications for this type of surgery, the records of 156 patients with carcinoma of the stomach directly invading adjacent organs or structures (T4 gastric carcinoma) were analyzed retrospectively. Methods. The patients were divided into three groups, as follows: in group A, curative resection was performed by the combined resection of invaded organs or structures; in group B, although combined resection was performed, curative resection could not be performed because of the extent of lymph node metastasis, liver metastasis, and/or peritoneal metastasis; in group C, combined resection was not performed. Results. In patients with peritoneal or liver metastasis, there was no significant difference in prognosis among the three groups. In patients without peritoneal and liver metastasis, the prognosis of group A was significantly better than that of group B or group C, irrespective of the extent of lymph node metastasis or the number of invaded organs. In these group A patients, the 5-year survival rates of those with localized tumors and no lymph node metastasis, those with localized tumors and lymph node metastasis, those with infiltrating tumors and no lymph node metastasis, and those with infiltrating tumors and lymph node metastasis were 100%, 56.2%, 57.1%, and 13.6%, respectively. Conclusions. Combined resection of involved organs should be carried out with curative intent in patients with localized gastric cancer or infiltrating gastric cancer without lymph node metastasis.

引用

页码：206 / 211

页数：5

共 8 条

[1]

Kodama Y., Sugimachi K., Soejima K., Matsusaka T., Inokuchi K., Evaluation of extensive lymph node dissection for carcinoma of the stomach, World J Surg, 5, pp. 241-248, (1981)

[2]

Korenaga D., Okamura T., Baba H., Saito A., Sugimachi K., Results of resection of gastric cancer extending to adjacent organs, Br J Cancer, 75, pp. 12-15, (1988)

[3]

Shiu M.N., Papacristou D.N., Kosloff C., Eliopoulos G., Selection of operative procedure for adenocarcinoma of the midstomach, Ann Surg, 192, pp. 730-737, (1980)

[4]

Scott Jr. H.W., Adkins Jr. R.V., Sawyers J.L., Results of an aggressive surgical approach to gastric carcinoma during a 23-year period, Surgery, 97, pp. 55-59, (1985)

[5]

Wanebo H.J., Kennedy B.J., Chmiel J., Steele Jr. G., Winchester D., Osteen R., Cancer of the stomach: A patient care study by the American College of Surgeons, Ann Surg, 218, pp. 583-592, (1993)

[6]

Kodama I., Takamiya H., Mizutani K., Ohta J., Aoyagi K., Kofuji K., Et al., Gastrectomy with combined resection of other organs for carcinoma of the stomach with invasion to adjacent organs: Clinical efficacy in a retrospective study, J Am Coll Surg, 184, pp. 16-22, (1997)

[7]

Japanese classification of gastric carcinoma, (1995)

[8]

Shirakabe K., Takagi K., Takahashi T., Taniguchi M., Miura Y., Oyama Y., Et al., A study on cases of resected gastric carcinoma with gross infiltrating of the adjacent organs, Jpn J Gastroenterol Surg, 19, pp. 2196-2202, (1986)

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