Conversion Surgery for Gastric Cancer with Peritoneal Metastasis Based on the Diagnosis of Second-Look Staging Laparoscopy
作者: Masaki NakamuraToshiyasu OjimaMikihito NakamoriMasahiro KatsudaToshiaki TsujiKeiji HayataTomoya KatoHiroki Yamaue
作者单位: 1Second Department of Surgery, School of Medicine, Wakayama Medical University
刊名: Journal of Gastrointestinal Surgery, 2019, Vol.23 (9), pp.1758-1766
来源数据库: Springer Journal
DOI: 10.1007/s11605-018-3983-7
关键词: Gastric cancerConversion surgeryPeritoneal metastasisPeritoneal cytologyStaging laparoscopy
英文摘要: Abstract(#br) Background(#br)Patients with positive peritoneal cytology (CY1) or peritoneal dissemination (P1) have significantly poor prognosis. We performed pre-therapeutic staging laparoscopy (SL) to diagnose peritoneal metastasis for patients with advanced gastric cancer. When peritoneal metastasis disappears by chemotherapy for patients with CY1 or P1, we have intention to perform conversion surgery (CS). This study aims to clarify the clinical significance of CS for such patients.(#br) Methods(#br)We retrospectively analyzed clinical outcomes of 115 patients with advanced gastric cancer (large type 3, type 4, serosa-invasion) who underwent SL between 2005 and 2014. Disappearance of peritoneal metastasis was confirmed by second-look SL.(#br) Results(#br)CY0P0, CY1P0, and P1 were...
全文获取路径: Springer  (合作)
影响因子:2.361 (2012)