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Outcome after emergency surgery in gastric cancer patients with free perforation or severe bleeding
Cited 19 time in
Web of Science
Cited 22 time in Scopus
- Authors
- Issue Date
- 2006-07-29
- Publisher
- Karger
- Citation
- Dig Surg. 2006;23(4):217-23. Epub 2006 Jul 26
- Keywords
- Adult ; Aged ; Chi-Square Distribution ; Emergencies ; Female ; Gastrointestinal Hemorrhage/*etiology/*surgery ; Humans ; Intestinal Perforation/*etiology/*surgery ; Male ; Middle Aged ; Neoplasm Staging ; Stomach Neoplasms/*complications/*surgery ; Survival Rate ; Treatment 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
https://hdl.handle.net/10371/15702
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