Results of combined resection of invaded organs in patients with potentially curable, advanced gastric cancer.
OBJECTIVE
To assess the role of combined resection of neighbouring organs that have been invaded by cancer in patients with potentially curable, but advanced, gastric cancer.


METHODS
Retrospective follow up study.


METHODS
University department of surgery.


METHODS
204 patients (from a consecutive series of 745 who had had gastric resection for cancer) all of whom had undergone potentially curative operations for advanced disease: 91 had had combined resection of other invaded organs.


RESULTS
Five year survival was 65% for 113 patients who had gastrectomy alone and 46% for 91 patients who also had other affected organs resected (p < 0.02).


CONCLUSIONS
We recommend resection of all organs that have been invaded by cancer, provided that there is no evidence such as widespread nodal involvement, peritoneal dissemination, or extensive hepatic metastases, that would make cure impossible.
Iriyama
K
K
Second Department of Surgery, Mie University School of Medicine, Tsu, Japan.
Ohsawa
T
T
Tsuchibashi
T
T
Noji
M
M
Miki
C
C
Ilunga
K
K
Suzuki
H
H
D003964:Diaphragm / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006498:Hepatectomy; D006801:Humans; D008297:Male; D009361:Neoplasm Invasiveness; D010180:Pancreatectomy; D012189:Retrospective Studies; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D015996:Survival Rate