[Clinical analysis of combined resection for T4 gastric cancer: report of 69 cases]

[Clinical analysis of combined resection for T4 gastric cancer: report of 69 cases] Research Abstract Details 

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[Clinical analysis of combined resection for T4 gastric cancer: report of 69 cases] Abstract Text:

Yuan-lian Wan,Yu-cun Liu,Jian-qiang Tang,Xin Wang,Tao Wu,Yi-sheng Pan,Shan-jun Huang,Yan-ting Huang,

OBJECTIVE: To evaluate the effect of combined resection for the treatment of T(4) gastric cancer and to refine the indication for enbloc dissection. METHODS: Clinical data of 69 cases receiving combined resection were analyzed retrospectively, and compared with those of 45 cases undergoing palliative gastrectomy. RESULTS: Of 69 cases, 54 patients underwent curative combined resection, 15 patients underwent palliative combined resection, including 24 with transverse colectomy, 22 with pancreaticosplenectomy, 8 with left lateral lobectomy of liver, 6 with pancreaticosplenectomy and transverse colectomy, 5 with pancreaticoduodenectomy, 2 with cholecystectomy, 1 with splenectomy, 1 with phrenectomy. The total rate of lymph node metastasis was 88.4%; the operative mortality rate was 4.3%; the morbidity rate was 14.5%. The postoperatively 1-, 3-, 5-year survival rates of CR group and NCR group were 66.9%, 39.1%, 26.8% and 33.4%, 7.4%, 0% respectively (P < 0.01). The five year survival rate of curative resection group was 34.1%. CONCLUSIONS: An enbloc combined resection can cure some T(4) patients, and improve the five-year survival rate.

[Clinical analysis of combined resection for T4 gastric cancer: report of 69 cases] Publishing Authors By Initials

YL Wan,YC Liu,JQ Tang,X Wang,T Wu,YS Pan,SJ Huang,YT Huang,

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[Clinical analysis of combined resection for T4 gastric cancer: report of 69 cases] Journal Published:

PUBLICATION TYPE: Journal Article

Journal: Zhonghua wai ke za zhi [Chinese journal of surgery

VOLUME: 41

Page Numbers: 594-6

Journal Abbreviation: Zhonghua Wai Ke Za Zhi

ISSN: 0529-5815

DAY: 24

MONTH: Aug

YEAR: 2003

[Clinical analysis of combined resection for T4 gastric cancer: report of 69 cases] Information

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LANGUAGE: chi

NlmUniqueID: 153611

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AFFILIATION: Department of General Surgery, First Hospital, Peking University, Beijing 100034, China.

Country: China

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MEDLINETA: Zhonghua Wai Ke Za Zhi

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