Defining palliative surgery in patients receiving noncurative resections for gastric cancer1 1No competing interests declared.

作者: Thomas J Miner , David P Jaques , Martin S Karpeh , Murray F Brennan

DOI: 10.1016/J.JAMCOLLSURG.2004.02.007

关键词: SurgeryGastric adenocarcinomaPalliative surgeryIn patientStomach cancerCancerQuality of lifeEsophageal anastomosisMedicineResection

摘要: Abstract Background Effective palliation rather than cure is often the most appropriate goal in management of patients with advanced gastric cancer. The literature to date limited by imprecise use term palliative and subsequent variable designation into evaluable groups. Study design Between July 1985 2001, 1,595 were entered a prospective database after undergoing resection for adenocarcinoma. Patients who received noncurative (R1/R2) identified. A procedure was defined as if it performed explicitly palliate symptoms or improve quality life. Results Three hundred seven resection. operation 48% (147/307) nonpalliative 52% (160/307). Palliative operations included an esophageal anastomosis less frequently (46% versus 69%, p 65 years. Conclusions There are important differences among Studies designed measure interventions would benefit from precise designations intent receiving operations.

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