title: Analysis of surgery for incurable gastric cancer.
abstract: BACKGROUND
  It is important to evaluate the curability of and avoid unnecessary exploratory surgery for gastric cancer preoperatively. However, no related research has been reported until now. The aim of this study was to evaluate the factors influencing surgery for incurable gastric cancer.
  
  
  METHODS
  310 cases of T3-4 gastric cancer patients were analyzed retrospectively, including 141 cases with radical surgery and 169 with surgery for incurable gastric cancer. The incurable factors were categorized as T status (unresectable T4 tumor), N status (unresectable lymph node), peritoneal metastasis, and distant metastasis. χ (2) test and logistic regression were performed to analyze the associations between curability, T status, N status, peritoneal metastasis, or distant metastasis and clinicopathological data.
  
  
  RESULTS
  Esophageal involvement and T grade were associated with curability. Cardia involvement and Borrmann type were associated with T status. Esophageal involvement and T grade were associated with N status. Gastric body involvement, esophageal involvement, and T grade were associated with peritoneal metastasis. Gastric antrum involvement was associated with distant metastasis.
  
  
  CONCLUSIONS
  The influencing factors of surgery for incurable gastric cancer should be analyzed preoperatively. Resectability should be evaluated according to these influencing factors combined with imaging analysis.
authors.affiliation: Department of Thoracic Surgery, Zhejiang Key Laboratory of Diagnosis and Treatment Technology on Thoracic Oncology (Lung and Esophagus), Zhejiang Cancer Hospital, Hangzhou, 310022, People's Republic of China.|Wenzhou Medical University, Wenzhou, 325035, People's Republic of China.
authors.forename: Honguang
authors.initials: H
authors.lastname: Zhao
authors.affiliation: Department of Biochemistry, Institute of Basic Medical Science, Zhejiang Medical College, Hangzhou, 310053, People's Republic of China.
authors.forename: Wenhu
authors.initials: W
authors.lastname: Chen
authors.affiliation: Department of Medical Record, Zhejiang Cancer Hospital, Hangzhou, 310022, People's Republic of China.
authors.forename: Yehua
authors.initials: Y
authors.lastname: Lin
authors.affiliation: Department of Biochemistry, Institute of Basic Medical Science, Zhejiang Medical College, Hangzhou, 310053, People's Republic of China.
authors.forename: Jiangfeng
authors.initials: J
authors.lastname: Qin
authors.affiliation: Department of Biochemistry, Institute of Basic Medical Science, Zhejiang Medical College, Hangzhou, 310053, People's Republic of China. jessie1217@hotmail.com.
authors.forename: Lifang
authors.initials: L
authors.lastname: Wang
mesh_terms: D000328:Adult; D000368:Aged; D002299:Cardia / Q000473:pathology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D009367:Neoplasm Staging; D010534:Peritoneal Neoplasms / Q000556:secondary / Q000601:surgery*; D011379:Prognosis; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*