[Surgical treatment of hepatic metastatic tumor from gastric cancer].
OBJECTIVE
To assess the long- term efficacy of surgical treatment of hepatic metastases from gastric adenocarcinoma.


METHODS
Clinical data of 938 cases with primary gastric cancer from January 1993 to October 2001 were analyzed retrospectively. Thirty- two cases received resection of hepatic metastases from gastric adenocarcinoma.


RESULTS
Metachronous hepatic metastasis occurred in 24 cases(2.6% ),and 14 cases(58.3% ) underwent resection of hepatic metastases, while synchronous hepatic metastasis occurred in 90 cases(9.6% ) and 18 cases(20% ) underwent resection of hepatic metastases. The 1- 3- 5- year survival rates of hepatic resection for metachronous hepatic metastases were 73% 37% 25% respectively; while for synchronous hepatic metastases 68% 24% and 17% respectively. There were no significant differences between the two groups (P> 0.05).


CONCLUSIONS
Synchronous and metachronous hepatic metastases from gastric cancer should be treated by surgical resection to confirm a better prognosis.
Xie
Shi-liang
SL
Department of Abdominal Surgical Oncology, Tumour Hospital, Chinese Academy of Medical Sciences, Beijing Union Medical College, Beijing100021, China. wangdan@hqcec.com
Shao
Yong-fu
YF
Feng
Qiang
Q
D000368:Aged; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000556:secondary* / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology*