Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Improvement of the prognosis of gastric cancer with extensive serosal invasion using left upper abdominal evisceration
Autore:
Isozaki, H; Tanaka, N; Fujii, K; Tanigawa, N; Okajima, K;
Indirizzi:
Okayama Univ, Sch Med, Dept Surg 1, Okayama 7008558, Japan Okayama Univ Okayama Japan 7008558 , Dept Surg 1, Okayama 7008558, Japan Osaka Med Coll, Dept Gen & Gastoenterol Surg, Osaka, Japan Osaka Med CollOsaka Japan , Dept Gen & Gastoenterol Surg, Osaka, Japan
Titolo Testata:
HEPATO-GASTROENTEROLOGY
fascicolo: 40, volume: 48, anno: 2001,
pagine: 1179 - 1182
SICI:
0172-6390(200107/08)48:40<1179:IOTPOG>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
PARAAORTIC LYMPH-NODE; CARCINOMA; SURGERY;
Keywords:
gastric cancer; advanced gastric carcinoma; serosal invasion; left upper abdominal evisceration (LUAE); radical surgery;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Isozaki, H Okayama Univ, Sch Med, Dept Surg 1, 2-5-1 Shikata Cho, Okayama 7008558, Japan Okayama Univ 2-5-1 Shikata Cho Okayama Japan 7008558 58, Japan
Citazione:
H. Isozaki et al., "Improvement of the prognosis of gastric cancer with extensive serosal invasion using left upper abdominal evisceration", HEP-GASTRO, 48(40), 2001, pp. 1179-1182

Abstract

Background/Aims: The prognosis of gastric cancer patients with serosal invasion is very poor. In this study, the effectiveness of the LUAE (left upper abdominal evisceration) procedure for these patients was evaluated retrospectively. Methodology: Thirty-seven gastric cancer patients who had serosal invasionbut no massive peritoneal metastasis or hepatic metastasis, and underwent LUAE, were enrolled in this study (LUAE group). As a control, 66 gastric cancer patients who had the same disease conditions as the LUAE group, and underwent conventional total gastrectomy with the combined resection of the pancreatic body and tail and spleen (TPS group), were also investigated. Results: The survival rate (5-year, 42.2%) of the LUAE group was significantly better than that (5-year, 21.2%) of the TPS group (P=0.009). Although D4 super-extended lymphadenectomy and intraperitoneal chemotherapy during surgery was performed more frequently in the LUAE group than those in the TPS group, multivariate analysis demonstrated that the LUAE procedure was a better independent prognostic factor. Conclusions: The LUAE procedure in combination with D4 super-extended lymphadenectomy and intraperitoneal chemotherapy improved the prognosis of gastric cancer patients with extensive serosal invasion.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 01/12/20 alle ore 07:28:00