Combined Gastrectomy with Adjacent Organs in T4 Gastric Cancer : Therapeutic Results and Indication
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概要
- 論文の詳細を見る
The postoperative morbidity, mortality and survival of 244 T4 gastric cancer patients were examined to assess the therapeutic results and to clarify the indication for combined gastrectomy with adjacent (T4) organs. A total of 190 combined and 54 simple gastrectomies were performed during the 25-year period between 1969 and 1994. Fourteen (7.4%) and 7 (13.0%) patients died of the complications after combined and simple gastrectomies respectively. No statistical significant difference was found in the mortality rates between the gastrectomies. The histological examination of 190 resected specimens by the combined gastrectomy with T4 organs revealed that gastric resections with conclusive curability A, B and C were performed in 33 (17.4%), 84 (44.2%) and 73 (38.4%) cases respectively. Significant differences (P < 0.01) among 3 survival curves of the patients with curability A, B and C were found, and the 5-year survival rates were 65.5%, 35.4% and 9.2% respectively. The survival curve of 176 patients with combined gastrectomy was significantly (P < 0.01) higher than that of 47 patients with simple gastrectomy, and the 5-year survival rates were 31.3% and 4.3%. However, the survival curve and the 5-year survival rate of the patients with simple gastrectomy were not statistically different from those of the patients with curability C. These results suggest that combined gastrectomy with T4 organs in T4 gastric cancer may be indicated for the patients with surgical curability B, but not surgical curability C.
- 神戸大学の論文
- 2000-12-27
著者
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KURODA Yoshikazu
First Division, Department of Surgery, Kobe University School of Medicine
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Kuroda Y
Department Of Surgery Kobe University Graduate School Of Medicine
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Kuroda Yoshikazu
神戸大学 医学系研究科消化器外科学
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NAKAMURA Takeshi
First Department of Surgery, Kobe University School of Medicine
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Ku Yonson
Department Of Surgery Kobe University Graduate School Of Medical Sciences
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Ohno Masakazu
Kobe University Graduate School of Medicine
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Tabuchi Yoshiki
Faculty of Health Sciences, Kobe University School of Medicine
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Ohno Masakazu
First Department of Surgery, Kobe University School of Medicine
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Kuniyasu Tetsuya
First Department of Surgery, Kobe University School of Medicine
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Usami Makoto
Faculty of Health Science, Kobe University School of Medicine
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Kuroda Yoshikazu
First Department Of Surgery Faculty Of Medicine Kobe University
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Ohno Masakazu
First Department Of Surgery Kobe University School Of Medicine
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Kuroda Yoshikazu
First Department Of Surgery Kobe University School Of Medicine
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Usami Makoto
Faculty Of Health Science Kobe University School Of Medicine
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Nakamura Takeshi
First Department Of Surgery Kobe University School Of Medicine
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Tabuchi Yoshiki
Faculty Of Health Sciences Kobe University School Of Medicine
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Tabuchi Yoshiki
Faculty Of Health Science Kobe University School Of Medicine
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Kuniyasu Tetsuya
First Department Of Surgery Kobe University School Of Medicine
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