You Position: Home > Paper
Prognostic analysis of surgical resection for patients with liver metastases from gastric cancer
( views:959, downloads:140 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF GASTROINTESTINAL SURGERY
- Issue:
- 1
- DOI:
- 10.3760/cma.j.issn.1671-0274.2005.01.004
- Key Word:
- 胃肿瘤;肝转移;预后
Abstract： 目的探讨胃癌肝转移患者手术治疗的指征和效果.方法回顾性分析我院1995年9月至2002年5月间经手术治疗的43例胃癌肝转移患者的临床资料.结果全组肝转移程度与患者性别、年龄、肿瘤侵犯深度、分化程度及有无淋巴结转移无相关关系(P＞0.05).异时性肝转移行肝切除4例,中位生存时间为35.0个月,预后明显优于同时性肝转移肝切除患者(中位生存时间10.0个月)(P=0.0233).同时性肝转移组中,单纯胃切除32例,中位生存时间6.0个月;胃加肝切除7例,中位生存时间10.0个月,两组差异无统计学意义(P=0.2799).不同肝转移程度姑息性胃切除术后生存时间比较,H1、H2和H33组分别为7.5、6.0和4.0个月,差异具有统计学意义(P=0.0007).结论异时性胃癌肝转移患者肝切除术后预后良好,应争取积极手术切除;胃癌肝转移患者同期行胃加肝切除生存率未见明显改善;H3肝转移患者姑息性胃切除预后不佳.
- [1]毛伟征,王舒宝,陈峻青.晚期胃癌非治愈性手术方式的探讨[J].2000,(10).
- [2]刘玉村,陈国卫,万远廉,等.大肠癌肝转移治疗方法的比较[J].2001,(5).
- [3]M, Miyazaki,H, Itoh,K, Nakagawa,etc.Hepatic resection of liver metastases from gastric carcinoma.[J].1997,92.
- [4]T. Ochiai,M. Sasako,S. Mizuno,etc.Hepatic resection for metastatic tumours from gastric cancer: Analysis of prognostic factors[J].1994,81(8).
- [5]B, Cady.Basic principles in surgical oncology.[J].1997,132.
- [6]Sakamoto Y,Ohyama S,Yamada K,etc.Surgical resection of liver metastases of gastric cancer: An analysis of a 17-year experience with 22 patients.[J].2003,133(5).
- [7]S D, Bines,G, England,D J, Deziel,etc.Synchronous, metachronous, and multiple hepatic resections of liver tumors originating from primary gastric tumors.[J].1993,114.