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Surgical outcomes and survival after multiorgan resection for locally advanced gastric cancer

Abstract Background Multiple organ resection for locally advanced (assumed T4) gastric cancer is associated with high morbidity and mortality. Our aim was to evaluate the efficacy of these surgeries with regard to surgical morbidity, mortality, and survival. Methods Fifty-six patients underwent pote... Full description

Journal Title: The American journal of surgery 2009, Vol.198 (1), p.25-30
Main Author: Ozer, Ilter, M.D
Other Authors: Bostanci, E. Birol, M.D , Orug, Taner, M.D , Ozogul, Yusuf B., M.D , Ulas, Murat, M.D , Ercan, Metin, M.D , Kece, Can, M.D , Atalay, Fuat, M.D , Akoglu, Musa, M.D
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: Alma/SFX Local Collection
Publisher: New York, NY: Elsevier Inc
ID: ISSN: 0002-9610
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title: Surgical outcomes and survival after multiorgan resection for locally advanced gastric cancer
format: Article
creator:
  • Ozer, Ilter, M.D
  • Bostanci, E. Birol, M.D
  • Orug, Taner, M.D
  • Ozogul, Yusuf B., M.D
  • Ulas, Murat, M.D
  • Ercan, Metin, M.D
  • Kece, Can, M.D
  • Atalay, Fuat, M.D
  • Akoglu, Musa, M.D
subjects:
  • Adenocarcinoma - mortality
  • Adenocarcinoma - pathology
  • Adenocarcinoma - surgery
  • Adult
  • Age
  • Aged
  • Aged, 80 and over
  • Antibiotics
  • Biological and medical sciences
  • Cancer
  • Esophagectomy - methods
  • Female
  • Follow-Up Studies
  • Gastrectomy
  • Gastrectomy - methods
  • Gastric cancer
  • Gastroenterology. Liver. Pancreas. Abdomen
  • General aspects
  • Health aspects
  • Humans
  • Locally advanced
  • Lymph
  • Lymph nodes
  • Lymphatic system
  • Male
  • Medical prognosis
  • Medical sciences
  • Metastases
  • Metastasis
  • Middle Aged
  • Morbidity
  • Mortality
  • Multivariate analysis
  • Neoplasm Invasiveness - pathology
  • Neoplasm Metastasis
  • Neoplasm Staging
  • Organs
  • Patients
  • Resection
  • Retrospective Studies
  • Splenectomy - methods
  • Stomach cancer
  • Stomach Neoplasms - mortality
  • Stomach Neoplasms - pathology
  • Stomach Neoplasms - surgery
  • Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
  • Surgery
  • Surgical outcomes
  • Survival
  • Survival Rate - trends
  • Time Factors
  • Treatment Outcome
  • Tumors
ispartof: The American journal of surgery, 2009, Vol.198 (1), p.25-30
description: Abstract Background Multiple organ resection for locally advanced (assumed T4) gastric cancer is associated with high morbidity and mortality. Our aim was to evaluate the efficacy of these surgeries with regard to surgical morbidity, mortality, and survival. Methods Fifty-six patients underwent potentially radical gastrectomy combined with invaded organ resection. Early and late results of multiorgan resection and clinicopathologic factors influencing these results were evaluated. Results Forty patients (71.4%) received 1 additional organ resection and 16 patients (28.6%) received 2 or more additional organ resections. Postoperative morbidity and mortality was 37.5% and 12.5%, respectively. Resection of 2 or more additional organs increased postoperative morbidity and advanced age increased mortality. The 1- and 3-year survival rates were 53.3% and 28.1%, respectively. Advanced age, lymph node metastasis, and resection of more than 1 additional organ were significant prognostic factors for survival. Conclusions For patients with locally advanced gastric carcinoma, multiple organ resection is worthwhile with careful patient selection.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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descriptionAbstract Background Multiple organ resection for locally advanced (assumed T4) gastric cancer is associated with high morbidity and mortality. Our aim was to evaluate the efficacy of these surgeries with regard to surgical morbidity, mortality, and survival. Methods Fifty-six patients underwent potentially radical gastrectomy combined with invaded organ resection. Early and late results of multiorgan resection and clinicopathologic factors influencing these results were evaluated. Results Forty patients (71.4%) received 1 additional organ resection and 16 patients (28.6%) received 2 or more additional organ resections. Postoperative morbidity and mortality was 37.5% and 12.5%, respectively. Resection of 2 or more additional organs increased postoperative morbidity and advanced age increased mortality. The 1- and 3-year survival rates were 53.3% and 28.1%, respectively. Advanced age, lymph node metastasis, and resection of more than 1 additional organ were significant prognostic factors for survival. Conclusions For patients with locally advanced gastric carcinoma, multiple organ resection is worthwhile with careful patient selection.
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languageeng
publisherNew York, NY: Elsevier Inc
subjectAdenocarcinoma - mortality ; Adenocarcinoma - pathology ; Adenocarcinoma - surgery ; Adult ; Age ; Aged ; Aged, 80 and over ; Antibiotics ; Biological and medical sciences ; Cancer ; Esophagectomy - methods ; Female ; Follow-Up Studies ; Gastrectomy ; Gastrectomy - methods ; Gastric cancer ; Gastroenterology. Liver. Pancreas. Abdomen ; General aspects ; Health aspects ; Humans ; Locally advanced ; Lymph ; Lymph nodes ; Lymphatic system ; Male ; Medical prognosis ; Medical sciences ; Metastases ; Metastasis ; Middle Aged ; Morbidity ; Mortality ; Multivariate analysis ; Neoplasm Invasiveness - pathology ; Neoplasm Metastasis ; Neoplasm Staging ; Organs ; Patients ; Resection ; Retrospective Studies ; Splenectomy - methods ; Stomach cancer ; Stomach Neoplasms - mortality ; Stomach Neoplasms - pathology ; Stomach Neoplasms - surgery ; Stomach. Duodenum. Small intestine. Colon. Rectum. Anus ; Surgery ; Surgical outcomes ; Survival ; Survival Rate - trends ; Time Factors ; Treatment Outcome ; Tumors
ispartofThe American journal of surgery, 2009, Vol.198 (1), p.25-30
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1Bostanci, E. Birol, M.D
2Orug, Taner, M.D
3Ozogul, Yusuf B., M.D
4Ulas, Murat, M.D
5Ercan, Metin, M.D
6Kece, Can, M.D
7Atalay, Fuat, M.D
8Akoglu, Musa, M.D
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descriptionAbstract Background Multiple organ resection for locally advanced (assumed T4) gastric cancer is associated with high morbidity and mortality. Our aim was to evaluate the efficacy of these surgeries with regard to surgical morbidity, mortality, and survival. Methods Fifty-six patients underwent potentially radical gastrectomy combined with invaded organ resection. Early and late results of multiorgan resection and clinicopathologic factors influencing these results were evaluated. Results Forty patients (71.4%) received 1 additional organ resection and 16 patients (28.6%) received 2 or more additional organ resections. Postoperative morbidity and mortality was 37.5% and 12.5%, respectively. Resection of 2 or more additional organs increased postoperative morbidity and advanced age increased mortality. The 1- and 3-year survival rates were 53.3% and 28.1%, respectively. Advanced age, lymph node metastasis, and resection of more than 1 additional organ were significant prognostic factors for survival. Conclusions For patients with locally advanced gastric carcinoma, multiple organ resection is worthwhile with careful patient selection.
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1Adenocarcinoma - pathology
2Adenocarcinoma - surgery
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4Age
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6Aged, 80 and over
7Antibiotics
8Biological and medical sciences
9Cancer
10Esophagectomy - methods
11Female
12Follow-Up Studies
13Gastrectomy
14Gastrectomy - methods
15Gastric cancer
16Gastroenterology. Liver. Pancreas. Abdomen
17General aspects
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20Locally advanced
21Lymph
22Lymph nodes
23Lymphatic system
24Male
25Medical prognosis
26Medical sciences
27Metastases
28Metastasis
29Middle Aged
30Morbidity
31Mortality
32Multivariate analysis
33Neoplasm Invasiveness - pathology
34Neoplasm Metastasis
35Neoplasm Staging
36Organs
37Patients
38Resection
39Retrospective Studies
40Splenectomy - methods
41Stomach cancer
42Stomach Neoplasms - mortality
43Stomach Neoplasms - pathology
44Stomach Neoplasms - surgery
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46Surgery
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49Survival Rate - trends
50Time Factors
51Treatment Outcome
52Tumors
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titleSurgical outcomes and survival after multiorgan resection for locally advanced gastric cancer
authorOzer, Ilter, M.D ; Bostanci, E. Birol, M.D ; Orug, Taner, M.D ; Ozogul, Yusuf B., M.D ; Ulas, Murat, M.D ; Ercan, Metin, M.D ; Kece, Can, M.D ; Atalay, Fuat, M.D ; Akoglu, Musa, M.D
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1Adenocarcinoma - pathology
2Adenocarcinoma - surgery
3Adult
4Age
5Aged
6Aged, 80 and over
7Antibiotics
8Biological and medical sciences
9Cancer
10Esophagectomy - methods
11Female
12Follow-Up Studies
13Gastrectomy
14Gastrectomy - methods
15Gastric cancer
16Gastroenterology. Liver. Pancreas. Abdomen
17General aspects
18Health aspects
19Humans
20Locally advanced
21Lymph
22Lymph nodes
23Lymphatic system
24Male
25Medical prognosis
26Medical sciences
27Metastases
28Metastasis
29Middle Aged
30Morbidity
31Mortality
32Multivariate analysis
33Neoplasm Invasiveness - pathology
34Neoplasm Metastasis
35Neoplasm Staging
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37Patients
38Resection
39Retrospective Studies
40Splenectomy - methods
41Stomach cancer
42Stomach Neoplasms - mortality
43Stomach Neoplasms - pathology
44Stomach Neoplasms - surgery
45Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
46Surgery
47Surgical outcomes
48Survival
49Survival Rate - trends
50Time Factors
51Treatment Outcome
52Tumors
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0Ozer, Ilter, M.D
1Bostanci, E. Birol, M.D
2Orug, Taner, M.D
3Ozogul, Yusuf B., M.D
4Ulas, Murat, M.D
5Ercan, Metin, M.D
6Kece, Can, M.D
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8Akoglu, Musa, M.D
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atitleSurgical outcomes and survival after multiorgan resection for locally advanced gastric cancer
jtitleThe American journal of surgery
addtitleAm J Surg
date2009
risdate2009
volume198
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pages25-30
issn0002-9610
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abstractAbstract Background Multiple organ resection for locally advanced (assumed T4) gastric cancer is associated with high morbidity and mortality. Our aim was to evaluate the efficacy of these surgeries with regard to surgical morbidity, mortality, and survival. Methods Fifty-six patients underwent potentially radical gastrectomy combined with invaded organ resection. Early and late results of multiorgan resection and clinicopathologic factors influencing these results were evaluated. Results Forty patients (71.4%) received 1 additional organ resection and 16 patients (28.6%) received 2 or more additional organ resections. Postoperative morbidity and mortality was 37.5% and 12.5%, respectively. Resection of 2 or more additional organs increased postoperative morbidity and advanced age increased mortality. The 1- and 3-year survival rates were 53.3% and 28.1%, respectively. Advanced age, lymph node metastasis, and resection of more than 1 additional organ were significant prognostic factors for survival. Conclusions For patients with locally advanced gastric carcinoma, multiple organ resection is worthwhile with careful patient selection.
copNew York, NY
pubElsevier Inc
pmid18823618
doi10.1016/j.amjsurg.2008.06.031