Browse

Outcome after emergency surgery in gastric cancer patients with free perforation or severe bleeding

Cited 17 time in Web of Science Cited 17 time in Scopus
Authors
Lee, Hyuk-Joon; Park, Do Joong; Yang, Han-Kwang; Lee, Kuhn Uk; Choe, Kuk-Jin
Issue Date
2006-07-29
Publisher
Karger
Citation
Dig Surg. 2006;23(4):217-23. Epub 2006 Jul 26
Keywords
AdultAgedChi-Square DistributionEmergenciesFemaleGastrointestinal Hemorrhage/*etiology/*surgeryHumansIntestinal Perforation/*etiology/*surgeryMaleMiddle AgedNeoplasm StagingStomach Neoplasms/*complications/*surgerySurvival RateTreatment Outcome
Abstract
BACKGROUND/AIMS: This study was conducted to evaluate the clinicopathologic characteristics and surgical outcome of perforated or bleeding gastric cancer patients. METHODS: Twenty-six gastric cancer patients undergoing emergency surgery for free perforation (n = 13) or severe bleeding (n = 13) were reviewed. RESULTS: In the perforation group, tumors were mainly located in the greater curvature and anterior wall, but in the bleeding group, they were mainly in the lesser curvature. Three (23%) patients in the perforation group and 7 (54%) in the bleeding group received potentially curative resections (p = 0.11). The postoperative morbidity rate and mortality rate were 31 (8/26) and 8% (2/26), respectively. Median survival time after operation was 5.5 months. One patient in the perforation group and 3 patients in the bleeding group who underwent curative resection survived more than 30 months without recurrence. Three factors were found to be associated with improved survival after emergency surgery: potentially curative resection; TNM stage, and the absence of postoperative complications. CONCLUSION: Emergency surgery for gastric cancer patients with perforation or severe bleeding is associated with a low curative resection rate and a high postoperative complication rate. However, long-term survival can be expected in those patients who underwent curative resection with earlier stage gastric cancer.
ISSN
0253-4886 (Print)
Language
English
URI
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16874002

http://hdl.handle.net/10371/15702
DOI
https://doi.org/10.1159/000094753
Files in This Item:
There are no files associated with this item.
Appears in Collections:
College of Medicine/School of Medicine (의과대학/대학원)Surgery (외과학전공)Journal Papers (저널논문_외과학전공)
  • mendeley

Items in S-Space are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse