Emergency surgery for perforated gastric malignancy: An institution's experience and review of the literature.
OBJECTIVE
The aim was to evaluate the outcome of patients who underwent surgery for perforated gastric malignancies.


METHODS
A review of all patients who underwent surgery for perforated gastric malignancy was performed.


RESULTS
Twelve patients (nine gastric adenocarcinoma and three B-cell lymphoma) formed the study group. Ten (83.3%) had subtotal gastrectomy performed, while two (16.7%) underwent total gastrectomy. All eight patients with adenocarcinoma who survived the initial operation fared poorly. The two patients with lymphoma who survived the surgery underwent subsequent chemotherapy has no disease recurrence currently.


CONCLUSIONS
Surgery in perforated gastric malignancy is fraught with numerous challenges.
Digestive Disease Centre, Department of General Surgery, Tan Tock Seng Hospital, Singapore.
Ker-Kan
KK
Tan
Terence Jin-Lin
TJ
Quek
Ningyan
N
Wong
Kelvin Kaiwen
KK
Li
Khong-Hee
KH
Lim