[Efficiency of combined multiple organs resection in advanced gastric carcinoma].
OBJECTIVE
Presently, 26.05% of cases with gastric carcinoma hospitalized in Cancer Center of Sun Yat-sen University were revealed adjacent organs involvement in varying degrees in exploration. There have been many arguments about the issue of surgery therapy on these advanced gastric carcinomas for a long time. This study was designed to demonstrate the feasibility of combined multiple organs resection in such cases.


METHODS
Clinical data of 44 advanced gastric cancer patients received combined multiple organs resections from 1985 to 1995 in Cancer Center of Sun Yat-sen University were enrolled retrospectively. Among them, 34 cases received curative resection and 10 cases received palliative resection. The effects of two kinds of operations were analyzed.


RESULTS
Median survival time was 588 days (average is 1 676 days) in radical combined multiple organs resection group and 344 days (average is 1 045 days) in palliative resection group respectively (P >0.05). In addition, no serious complication occurred and no patients died of extended resection.


CONCLUSIONS
Combined multiple organs resection is practicable in curative therapy for gastric carcinoma; even palliative resection may have better treatment effect. So, if permission, radical combined multiple organs resection should be top-priority.
Li
Wei
W
Department of Abdominal surgery, Cancer Center, Sun Yat-sen University, Guangzhou, Guangdong, 510060, PR China. lwxsbs@medmail.com.cn
Sun
Xiao-Wei
XW
Zhan
You-Qing
YQ
Xu
Li
L
Chen
Ying-Bo
YB
Xu
Da-Zhi
DZ
Zhong
Jian
J
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000601:surgery*