Noncurative Total Gastrectomy and Oesophagogastrectomy in the Treatment of Advanced Gastric Carcinoma in a Country with High Incidence
| Autor: | Murat Başer, R. Sönmez, Erol Kisli, O. Soylemez, O. Cikman, M. Arslan, Çetin Kotan, Hasan Arslantürk |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty medicine.medical_treatment Dehiscence Postoperative Complications Gastrectomy Stomach Neoplasms Epidemiology medicine Carcinoma Humans Lymph node Aged Retrospective Studies Aged 80 and over business.industry Incidence (epidemiology) Anastomosis Surgical Palliative Care Cancer General Medicine Middle Aged medicine.disease Survival Analysis Surgery Esophagectomy medicine.anatomical_structure Oesophagogastrectomy Female business |
| Zdroj: | Acta Chirurgica Belgica. 105:519-522 |
| ISSN: | 0001-5458 |
| DOI: | 10.1080/00015458.2005.11679772 |
| Popis: | The role of extensive resectional surgery, including total gastrectomy for the palliation of advanced gastric cancer is controversial. This study shows operative results with complications and mortality occurring after total gastrectomy in patients with advanced stage gastric carcinoma. The study included 83 (48 males and 35 females, median age was 54.6 +/- 11.4 years) patients who underwent palliative total gastrectomy or oesophagogastrectomy (distal oesophagectomy in continuity with total gastrectomy). The reason for nonradical treatment was a too locally advanced disease. There was no case of carcinoma without serosal extension. Only five patients were free of histological lymph node metastases. A total of 72 (86.7%) early postoperative complications, including 17 self-limited wound complications, and 21 pulmonary complications were noted. Dehiscence of the oesophagojejunal anastomosis was noted in 7 patients, 3 of whom subsequently died. A total of 8 (9.6%) patients died in the postoperative period. The mean survival period was 12.8 +/- 0.8 months for all patients. It was 18.16 +/- 2.04 months in stage IIIA patients, 13.37 +/- 0.79 months in stage IIIB, and 7.51 +/- 0.97 months in stage IV patients. Total gastrectomy is a relatively safe procedure even when performing as a palliative procedure, with acceptable mortality and low lethal complication rate, and should be considered an alternative option in palliative treatment of advanced gastric cancer. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|