Total Gastrectomy for Gastric Cancer: 12-Year Data and Review of the Effect of Performing Lymphadenectomy.
スポンサーリンク
概要
- 論文の詳細を見る
A total of 1, 272 patients with gastric cancer were admitted to our institute for surgery during 12 years (1975-1986). Of these, 1, 059 (83.4%) underwent gastrectomy. Among these, 252 (23.8%) were total gastrectomy (TG), involving 160 (63.5%) cases of cancer mainly located in the upper third of the stomach, 81(32.1%) in the middle third and 11(4.4%) in the lower third. Radical TG was performed in 65.9% and palliative TG in 34.1%. Roux-en-Y reconstruction was selected in 80%, jejunal interposition in 17.6% and double tract in 2.4%. The survival rate was improved by introducing extended lymph node dissection, especially in the cases of stage III & IV cancer in which a combined pancreatico-splenectomy could lead to cure when associated with lymphadenectomy. In cases of a positive serosal exposure, the 5-year survival rate was increased by extended lymphadenectomy from 21% to 46% (p<0.02) . Anastomotic leakage occurred in 4.2%. The postoperative mortality rate was 1.6%, occurring in only 4 patients.
- 久留米大学医学部 The Kurume Medical Journal 編集部の論文
著者
-
Koufuji Kikuo
Departments Of Surgery Kurume University School Of Medicine
-
Kawabata Shinji
Department Of Mechanical And Control Engineering Kyushu Institute Of Technology
-
SUEMATSU TETSU
Department of Surgery, Kurume University School of Medicine
-
KAKEGAWA TERUO
Department of Surgery, Kurume University School of Medicine
-
KAKEGAWA TERUO
Department of Surgery Kurume University School of Medicine
-
TAKEDA JINRYO
Department of Surgery, Kurume University School of Medicine
-
KODAMA ISSEI
Department of Surgery, Kurume University School of Medicine
-
TSUJI YOSHIAKI
Department of Surgery, Kurume University School of Medicine
-
YOKOYAMA TOSHIO
Department of Surgery, Kurume University School of Medicine
-
KAKEGAWA TERUO
Department o f Surgery, Kurume University School of Medicine
-
KOUFUJI KIKUO
Department of Surgery, Kurume University School of Medicine
-
KODAMA ISSEI
Department of Gastroenterology and Surgery, Kurume University School of Medicine
-
TSUJI YOSHIAKI
Department of Surgery, Fukuoka Prefectural Asakura Hospital
-
KOUFUJI KIKUO
Department o f Surgery, Kurume University School of Medicine
-
TAKEDA JINRYO
Department of Gastroenterology and Surgery, Kurume University School of Medicine
-
TAKEDA JINRYO
Department o f Surgery, Kurume University School of Medicine
関連論文
- Surgery and Clinicopathological Features of Gastric Adenocarcinoma Involving the Esophago-Gastric Junction
- Boron Neutron Capture Therapy for Newly Diagnosed Glioblastoma
- The Influence of Pylorus-Preserving Partial Gastrectomy on Carcinogenesis of Residual Gastric Mucosa in the Rat
- On Recovering a Human Motion from Image Sequences
- Cervico-Thoraco-Abdominal (3-Field) Lymph Node Dissection for Carcinoma in the Thoracic Esophagus
- Surgical Strategy for Meningioma Extension into the Optic Canal
- Efficacy of an Ultrasonic Aspirator for Compartmental Removal of Large Meningiomas
- Clinicopathologic Study of Perineural Invasion in Rectal Cancer
- Questionable Resection for Carcinoma of the Esophagus Involving the Trachea, Bronchus and/or Aorta : A Comparative and Multivariate Analysis
- Preoperative Radiation for Carcinoma of the Thoracic Esophagus Involving Adjacent Organs : A Comparative and Multivariate Analysis of Prognosis
- Clinicopathologic Characteristics of Stage I Lung Adenocarcinoma in Women
- Stage I Adenocarcinomas of the Lung : Survival of Females and Males
- A Study on Polyethylene Glycol Electrolyte Lavage Solution and Sodium Picosulf ate Combined Pretreatment Method for Colonoscopy
- Extended Indication Criteria for Endoscopic Mucosal Resection of Early Gastric Cancer with Special Reference to Lymph Node Metastasis : Examination by Multivariate Analysis
- The Expression of p53, p21 and TGF .BETA.1 in Gastric Carcinoma
- Multiple organ failure(MOF) and nutritional support.
- Congenital segmental dilatation of the colon.
- .ALPHA.-Fetoprotein-Producing Early Gastric Cancer: Report of Two Cases
- Two Cases of Early Gastric Carcinoma with Synchronous Liver Metastasis
- Fluid management for intestinal ileus.
- THE COMBINED TREATMENT FOR CARCINOMA OF THE ESOPHAGUS WITH THE RADICAL RESECTION AND THE PREOPERATIVE IRRADIATION
- Clinicopathological Characteristics of Colorectal Submucosal Carcinoma with Lymph Node Metastasis.
- Retrospective Studies of Gastric Subserosal (ss) Cancer. In Comparison to pm- and se-Cancers.:In Comparison to pm- and se-Cancers
- Para-Aortic Lymph Node Dissection for the Treatment of Advanced Gastric Cancer.
- Clinical Evaluation of Severe Ischemic Limbs by Tissue Reflection Spectrophotometry.
- Two Cases of Cancer in the Remnant Stomach Derived from Gastritis Cystica Polyposa.
- Morphological Change in the MNNG-Treated Rat Gastric Mucosa.
- Advanced Gastric Cancer Effectively Treated by Neoadjuvant Continuous Low-dosage 5-fluorouracil and Cisplatin(FP Regimen): A Case Report.:A Case Report
- Mast Cells and Histamine Release in Crohn's Disease.
- Submucosal Gastric Cancer with Lymph Node Metastasis. A Clinicopathological Study.:A Clinicopathological Study
- Total Gastrectomy for Gastric Cancer: 12-Year Data and Review of the Effect of Performing Lymphadenectomy.
- Early Gastric Carcinoma Associated with Amyloidosis: A Case Report.
- Evaluation of the Epidermal Growth Factor Receptor (EGFR) and c-erbB-2 in Superspreading-type and Penetrating-type Gastric Carcinoma.
- Primary Gastric Lymphoma. A Clinicopathological Study.
- Atypical endothelial cells with a number of filaments in growing blood vessels after gastro-gastrostomy.
- Advanced Gastric Cancer with Liver Metastasis Effectively Treated by Intra-Hepatic Arterial Infusion of 5-FU, MMC and Peroral Administration of 5-FU. A Case Report.
- Histopathological Findings of the Lower Esophagus after Total Gastrectomy in Rat.
- Gastric Cancer Invading the Esophagus. Improved Management.:Improved Management
- The Effect of Bile Juice Reflux on the Development of Remnant Stomach Carcinoma.
- Invisible Cardia Cancer Metastasis to the Diaphragm.
- Early Mucosal Gastric Cancer with Extra-Perigastric (n2) Lymph Node Metastasis.
- Early Gastric Cancer Associated with Synchronous Liver Metastasis.
- Preoperative Prediction of Mortality Following Surgery for Esophageal Cancer.
- Early Gastric Cancer with Juxta Regional Lymph Node Matastases.
- Postoperative subphrenic abscess following gastrectomy for gastric cancer.
- Significance and actual status of the dissection of paraaortic lymph nodes in the cases with gastric cancer.
- Retrospective studies of gastric cancer with hepatic metastases.
- Gastric Cancer during Pregnancy.
- Surgical Management of Gastric Cancer Patients with Liver Cirrhosis.
- Mucinous Adenocarcinoma of the Stomach. Clinicopathological Studies.:Clinicopathological Studies
- Remnant-Stump Early Gastric Cancer following Partial Gastrectomy.
- Surgical Procedures, Complications, and Prognosis for Gastric Cancer in the Very Elderly (>85): A Retrospective Study
- Remnant-Stump Gastric Cancer following Parlial Gastrectomy. Clinicopathological Studies.:Clinicopathological Studies
- Superficial Spreading-Type Mucosa-Associated Lymphoid Tissue (MALT) Lymphoma in the Stomach. A Case Report.:A Case Report
- Early Gastric Cancer and Lymph Node Metastasis.
- Early Mucosal Gastric Cancer with Lymph Node Metastasis.
- Gastric Cancer Surgery in the Octogenarian.
- Resected Early Gastric Cancer. Clinicopathological Studies on 610 Cases.:Clinicopathological Studies on 610 Cases
- Endoscopic Removal with Clipping for Colonic Lipomas.
- Total Pelvic Exenteration for Locally Advanced Colorectal Carcinoma. Postoperative Complications.:Postoperative Complications
- Therapeutic Rectoscopy for Rectal Tumors.
- Clinicopathological Studies of Multiple Cancers in the Large Bowel and Other Organs.
- A Patient with Advanced Gastric Cancer, Underwent Curative Gastrectomy and Partial Resection of Metachronous Hepatic Metastases, Is Surviving for 13 Years to Date.
- A Retrospective Study of Resected Gastric Cancers.
- Clinical and Pathological Evaluation of Early Gastric Cancer and Lymph Node Metastasis
- A Case of Small Mucosal Gastric Carcinoma with Lymph Node Metastasis: A Case Report
- Gastric operations in patients with hepatic cirrhosis following endoscopic sclerotherapy.
- Zero Operative Mortality for Gastric Cancer with Hepatic Cirrhosis.
- Schwannoma in the Sigmoid Colon. Report of a Case.
- A Clinicopathological Study of Distal Advanced Gastric Carcinoma with Duodenal Invasion.
- Unresectable Advanced Gastric Cancer Effectively Treated by Combined Chemo-Immunotherapy. A Report of Two Cases.
- Multiple Carcinoids in the Stomach with Hypergastrinemia and Type A Gastritis. A Case Report.
- Early Gastric Cancer Associated with Synchronous Multiple Liver Metastasis. Two Rare Cases.:Two Rare Cases
- Vagotomy and acid secretion.
- Multiple Organ Failure(MOF) after Intestinal Operations. A Clinical and Statistical Study of the Past 5 Years.:A Clinical and Statistical Study of the Past 5 Years
- Congenital segmental dilatation of the jejunum with malrotation.
- Transgastric vagotomy with selective proximal vagotomy for duodenal ulcer.
- A Long-term Survival Case of Gastric Cancer Treated by Continuous Low-dosage 5-fluorouracil and Cisplatin: A Case Report.
- Surgical management of residual gastric cancer.
- Occurrence of Desmoid Tumors following Surgery for Familial Adenomatosis Coli. Report of Two Cases.:Report of Two Cases
- Survival of rectal carcinoma patients studied with flow cytometric DNA analysis.
- A Pylorus-Retaining Pancreatic Head Duodenectomy for Cancers of the Duodenal Papilla and the Lower Bile Duct.
- Surgical treatment for upper gastric cancers.
- Gastric Cancer Surgery in the Elderly.
- Study of Lymphatic Metastatic Patterns in Gastric Carcinoma According to Tumor Location.
- Long-term Survival after Gastric Cancer with Liver Metastasis: A Report of Two Cases.:A Report of Two Cases
- Early Gastric Cancer following Gastrojejunostomy without Gastrectomy.
- Retrospective Studies of Synchronous Double Early Gastric Cancer.
- Immunohistochemical Study on the Expression of Cyclin D1 and E in Gastric Cancer.
- Esophageal invasion by an upper gastric cancer: retrospective evaluation and prognosis.
- Massive Gastric Cancer in a Patient with a Negative Gregory Antigen (Gy (a-)), A Rare Blood Group.
- A case report of eosinophilic granuloma of the stomach.
- Clinical and pathological evaluation of early cancer in the gastric cardia.
- Gastric Cancer following Gastrectomy for Benign Gastroduodenal Disease.
- Spontaneous Portacaval Shunts in Patients with Gastric Cancer and Hepatic Cirrhosis.
- Clinicopathological significance of hypoxia-inducible factor-1 alpha (HIF-1α) expression in gastric cancer