[Multivisceral resection of advanced stomach cancer].
From 1985 to 1990, 589 patients with gastric cancer were operated upon. Gastric resection was performed on 416 patients (71%); it was curative in 330 cases and palliative in 86 cases. Multivisceral resection was necessary in 61 patients (i.e. 15% of the resected patients) because of distant metastases or T4 tumors (curative: 43 cases--palliative: 18 cases). Compared to the group of curative resections without multivisceral extension, the complication rate (27% vs 26%) and 30-day lethality (5.2% vs 3.3%) were similar, whereas the 5-year survival rate was lower (22% vs 48%). However, the survival rate (21%) was nearly identical for T3 tumors in the group without multivisceral extension. These results show that curative gastric resections of T4 tumors lead to the same long-term results as resections of T3 tumors and the complication rate and lethality are equal.
Gebhardt
C
C
Zentrum für Chirurgie, Städtischen Klinikums Nürnberg.
Schultheis
K H
KH
D000368:Aged; D003082:Colectomy; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006498:Hepatectomy; D006801:Humans; D008297:Male; D009367:Neoplasm Staging; D010166:Palliative Care; D010180:Pancreatectomy; D011183:Postoperative Complications / Q000401:mortality; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate