Extended Gastrectomy for T4b Gastric Adenocarcinoma: Single-Surgeon Experience
| Autor: | Mushegh А. Sahakyan, Artak Gabrielyan, Hmayak Petrosyan, Arthur M Sahakyan, Sevak S Shahbazyan, Shushan Yesayan |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Adenocarcinoma 03 medical and health sciences Gastric adenocarcinoma 0302 clinical medicine Gastrectomy Stomach Neoplasms medicine Humans Prospective Studies Stage (cooking) Neoadjuvant therapy business.industry Gastroenterology Middle Aged medicine.disease Survival Analysis Single surgeon Surgery Radiation therapy Oncology 030220 oncology & carcinogenesis Female 030211 gastroenterology & hepatology Lymphadenectomy business |
| Zdroj: | Journal of Gastrointestinal Cancer. 51:135-143 |
| ISSN: | 1941-6636 1941-6628 |
| DOI: | 10.1007/s12029-019-00222-z |
| Popis: | This study reports single-surgeon experience with extended gastrectomy including en-bloc resection of adjacent organs/structures for T4b stage gastric adenocarcinoma. Time-related changes in patient selection criteria and outcomes were also analyzed. All consecutive gastrectomies for adenocarcinoma performed between May 2004 and December 2017 were extracted from prospectively collected database to study surgical and oncologic results. Time-related changes in outcomes were examined according to three time periods. Five hundred eighty-seven gastrectomies were performed throughout the study period including 87 (14.8%) extended resections. The latter most often included pancreatosplenectomy, colon, and liver resections (21, 16, and 11 patients, respectively) resulting in similar postoperative outcomes and survival. Extended gastrectomy was associated with larger tumor size (8.4 vs 5.6 cm), performing total gastrectomy (55.2 vs 35.2%, p |
| Databáze: | OpenAIRE |
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