查詢結果分析
來源資料
相關文獻
- Resectable Gastric Cancer: Operative Mortality and Survival Analysis
- Proximal Third Gastric Adenocarcinoma: Results of Total Gastrectomy by General Surgeons and Analysis of Prognostic Factors
- 對漿膜侵犯之進行胃癌胃切除手術之檢討
- 早期胃癌胃切除手術對激膽囊素分泌及膽囊收縮之影響--初報
- 腹腔鏡胃切除手術治療胃癌
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- Intraluminal Mucin Pool in Mucinous Gastric Adenocarcinoma: A Case Report
- 胃癌之流行病學特徵及危險因子
- Dispute of Extended Lymph Node Dissection for Gastric Cancer
- 源自胃癌的克魯根堡氏瘤:十年臨床經瞼
頁籤選單縮合
題 名 | Resectable Gastric Cancer: Operative Mortality and Survival Analysis=可切除的胃癌--手術死亡率和存活預後的分析 |
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作 者 | 王嘉修; 謝清川; 趙子傑; 詹益銀; 鄭隆賓; 黃燦龍; 陳敏夫; 陳邦基; 陳仁熙; 薛綏; | 書刊名 | 長庚醫學 |
卷 期 | 25:4 2002.04[民91.04] |
頁 次 | 頁216-227 |
分類號 | 416.243 |
關鍵詞 | 胃癌; 胃切除手術; 手術死亡率; 預後分析; Gastric cancer; Gastrectomy; Operative mortality; Prognostic analysis; |
語 文 | 英文(English) |
中文摘要 | 背景: 本文旨在評估本院近六年來胃癌切除手術的成績,存活分析並判定重要的預後因子。 方法: 於1994年和2000年期間,本院共有1,322胃癌病人接受胃切除手術。平均年齡是61.1歲(差距,14-92)。包括865位男性和457位女性。施行全胃切除術有389(29.4%)位,遠端胃切除術有933位。其中根治切除者961位,緩解切除者361位。根治切除術必須包含D2或更高層次淋巴結的廓清術。緩解手術的病人術後給予化學治療。 結果: 早期(pT1)胃癌佔總切除的例17.7%,而淋巴結轉移佔62.1%。胃切除術的總死亡率和併發併症率分別是3.3%和18.0%,兩者於緩解切除術都高過根治切除,各種手術中以緩解性的全胃切除術死率特別高(8.5%)。全部病人的五年累積存活率是45.6%,其中根治切除者達57.0%。多變數分析發現影響存活最重要的預後因子包括淋巴結轉移、胃壁漿膜的侵犯、腹膜播種、切離斷端陽性、肝臟轉移、高齡、腫瘤大小和淋巴管的侵襲。 結論: 最重要的預後因子包括淋巴結轉移、胃壁漿膜的侵犯、腹膜播種、切離斷端陽性、肝臟轉移、高齡、腫瘤大小和淋巴管的侵襲。本院近六年來胃癌病人胃切除手術的死亡率和五年累積存活率和世界上其他系列的成績較佳者相類似。 |
英文摘要 | Background: This study evaluated the survival outcome and determined the prognostic factors for gastric cancer patients who underwent gastric resection in the past 6 years. Methods: Between 1994 and 2000, a total of 1322 patients with gastric cancer who underwent gastric resection in our hospital comprised the study subjects. Their mean age was 61.1 (range, 14-92) years. There were 865 male and 457 female patients. Total gastrectomy was performed in 389 (29.4%) and distal gastrectomy in 933 patients. Curative resection was performed in 961, and palliative resection in 361 patients. A D2 or greater lymphadenectomy was required for curative resection. Patients received postoperative chemotherapy if they underwent palliative resection. Results: Early or pT1 gastric cancer accounted for 17.7% and lymph node metastasis for 62.1% of all resected cases. The overall operative mortality and morbidity rates were 3.3% and 18.0%, respectively. The operative mortality mortality for palliative total gastrectomy was particularly high (8.5%). The overall cumulative 5-year survival rate of all resected patients was 45.6%, and it was 57.0% after curative resection. Multivariate analysis revealed that lymph node metastasis, serosal invasion, peritoneal seeding, positive resection margin, liver metastasis, old age, tumor size, and lymphatic invasion were independent prognostic factors. Conclusion: The most important prognostic factors for survival were lymph node metastasis, serosal invasion, peritoneal seeding, positive resection margin, liver metastasis, old age, tumor size, and lymphatic invasion. The operative mortality and survival outcome of our gastric cancer patients after gastric resection compared favorably with those of other series in other countries. |
本系統中英文摘要資訊取自各篇刊載內容。