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Is palliative resection necessary for gastric carcinoma patients?

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Abstract

Background and aims

The benefit of palliative resection for gastric carcinoma patients remains controversial. We thus evaluated the survival benefit of palliative resection in advanced gastric carcinoma patients.

Materials and methods

We reviewed the hospital records of 466 gastric carcinoma patients who had palliative resection and compared the clinicopathologic findings to those of patients who underwent a bypass or exploration from 1986 to 2000.

Results

Cox’s proportional hazard regression model revealed only one independent statistically significant prognostic parameter, the presence of peritoneal dissemination (risk ratio, 0.739; 95% confidence interval, 0.564–0.967; P < 0.05). The 5-year survival rate of patients who had palliative resection was higher than that of patients who did not (7.03 vs 0%, P < 0.001). When the 5-year survival rates of patients with peritoneal dissemination were examined, the rate was higher for those who underwent resection (4.43 vs 0%, P < 0.001).

Conclusion

The results highlight the improved survivorship of gastric carcinoma patients with palliative resection compared to those who did not undergo the procedure. Although curative resection is not possible in this group of patients, we recommend performing resection aimed at palliation.

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Authors and Affiliations

  1. Division of Gastroenterologic Surgery, Department of Surgery, Chonnam National University Medical School, 8, Hakdong, Dongku, Gwangju, 501-757, South Korea

    Dong Yi Kim, Jae Kyoon Joo, Young Kyu Park, Seong Yeob Ryu, Young Jin Kim & Shin Kon Kim

  2. Department of Pathology, Chonnam National University Medical School, 8, Hakdong, Dongku, Gwangju, 501-757, South Korea

    Jae Hyuk Lee

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  1. Dong Yi Kim
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  2. Jae Kyoon Joo
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  3. Young Kyu Park
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  4. Seong Yeob Ryu
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  5. Young Jin Kim
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  6. Shin Kon Kim
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  7. Jae Hyuk Lee
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Correspondence to Dong Yi Kim.

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Kim, D.Y., Joo, J.K., Park, Y.K. et al. Is palliative resection necessary for gastric carcinoma patients?. Langenbecks Arch Surg 393, 31–35 (2008). https://doi.org/10.1007/s00423-007-0206-1

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  • DOI: https://doi.org/10.1007/s00423-007-0206-1

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