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Surgical Treatment of Gastric Cancer with Invasion Into the Contiguous Organs


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Title: Surgical Treatment of Gastric Cancer with Invasion Into the Contiguous Organs
Authors: Hirano, Tatsuo / Miura, Toshio / Kusano, Hiroyuki / Takahira, Ryoji / Shimoyama, Takatoshi / Tomita, Masao
Issue Date: 25-Oct-1987
Citation: Acta Medica Nagasakiensia. 1987, 32(1-4), p.143-150
Abstract: Between 1968 and 1983, out of 1,137 gastric cancer patients who underwent laparotomy, 344 patients had cancer invasion into a contiguous organ based on gross findings. The incideces of peritoneal dissemination, metastasis to the liver and extensive lymph node involvement were observed at the rates of 52.9%, 17.2% and 37.8%, respectively. Two hundred and twenty-one patients had gastrectomy with or without combined resection of other organs. The resectability rate was 62.9%. The commonly invaded organs were the pancreas(49.3%), transverse colon (13.1%), liver (10.4%), and diaphragma (5.9%). Combined resection of the stomach and the surrounding organ was performed in 139 patients (62.9%). The operative motality rate was 4.9%. The crude five-year survival rate for gastrectomy was 10.8% ; 27.4% in curative resection and 3.5% in non-curative resection. In contrast, none of the 123 patients in the non- resected group survived 3 years postoperatively. The results support that aggressive gastrectomy is indicated in selected patients as far as curability can be expected by means of combined resection.
URI: http://hdl.handle.net/10069/17520
ISSN: 00016055
Type: Departmental Bulletin Paper
Text Version: publisher
Appears in Collections:Volume 32, No. 1-4

Citable URI : http://hdl.handle.net/10069/17520

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