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Outcome after emergency surgery in gastric cancer patients with free perforation or severe bleeding
DC Field | Value | Language |
---|---|---|
dc.contributor.author | Lee, Hyuk-Joon | - |
dc.contributor.author | Park, Do Joong | - |
dc.contributor.author | Yang, Han-Kwang | - |
dc.contributor.author | Lee, Kuhn Uk | - |
dc.contributor.author | Choe, Kuk-Jin | - |
dc.date.accessioned | 2009-11-26T02:58:35Z | - |
dc.date.available | 2009-11-26T02:58:35Z | - |
dc.date.issued | 2006-07-29 | - |
dc.identifier.citation | Dig Surg. 2006;23(4):217-23. Epub 2006 Jul 26 | en |
dc.identifier.issn | 0253-4886 (Print) | - |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&dopt=Citation&list_uids=16874002 | - |
dc.identifier.uri | https://hdl.handle.net/10371/15702 | - |
dc.description.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. | en |
dc.language.iso | en | - |
dc.publisher | Karger | en |
dc.subject | Adult | en |
dc.subject | Aged | en |
dc.subject | Chi-Square Distribution | en |
dc.subject | Emergencies | en |
dc.subject | Female | en |
dc.subject | Gastrointestinal Hemorrhage/*etiology/*surgery | en |
dc.subject | Humans | en |
dc.subject | Intestinal Perforation/*etiology/*surgery | en |
dc.subject | Male | en |
dc.subject | Middle Aged | en |
dc.subject | Neoplasm Staging | en |
dc.subject | Stomach Neoplasms/*complications/*surgery | en |
dc.subject | Survival Rate | en |
dc.subject | Treatment Outcome | en |
dc.title | Outcome after emergency surgery in gastric cancer patients with free perforation or severe bleeding | en |
dc.type | Article | en |
dc.contributor.AlternativeAuthor | 이혁준 | - |
dc.contributor.AlternativeAuthor | 박도중 | - |
dc.contributor.AlternativeAuthor | 양한광 | - |
dc.contributor.AlternativeAuthor | 이건욱 | - |
dc.contributor.AlternativeAuthor | 최국진 | - |
dc.identifier.doi | 10.1159/000094753 | - |
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