Treatment of peritoneal dissemination from gastric cancer by peritonectomy and chemohyperthermic peritoneal perfusion.

作者: Y. Yonemura , T. Kawamura , E. Bandou , S. Takahashi , T. Sawa

DOI: 10.1002/BJS.4695

关键词:

摘要: Background: There is no standard treatment for peritoneal dissemination from gastric cancer. A novel consisting of peritonectomy and intraoperative chemohyperthermic perfusion (CHPP) was compared with conventional surgery CHPP. Methods: Records all patients who underwent CHPP after cytoreductive between 1992 2002 were reviewed. Results: Data 107 available. Complete cytoreduction achieved in 47 (43·9 per cent) the patients: 18 65 29 42 had peritonectomy. Twenty-three (21·5 suffered complications. The overall operative mortality rate 2·8 cent. Seventeen (15·9 disease free 87 subsequent deaths related to progression. median survival 11·5 months, a 5-year 6·7 Median complete 15·5 months that incomplete 7·9 rates 13 2 cent respectively. Completeness independent prognostic factors. by 27 cent. Conclusion: Complete may improve Copyright © 2005 British Journal Surgery Society Ltd. Published John Wiley & Sons,

参考文章(19)
Pierre Jacquet, Paul H. Sugarbaker, Peritoneal-plasma barrier. Cancer treatment and research. ,vol. 82, pp. 53- 63 ,(1996) , 10.1007/978-1-4613-1247-5_4
Shigeru Fujimoto, Makoto Takahashi, Kokuriki Kobayashi, Masanobu Kure, Takaaki Mutou, Hiroshi Masaoka, Harm Ohkubo, Relation between clinical and histologic outcome of intraperitoneal hyperthermic perfusion for patients with gastric cancer and peritoneal metastasis. Oncology. ,vol. 50, pp. 338- 343 ,(1993) , 10.1159/000227206
P. H. Sugarbaker, Management of peritoneal-surface malignancy: the surgeon’s role Langenbeck's Archives of Surgery. ,vol. 384, pp. 576- 587 ,(1999) , 10.1007/S004230050246
Pierre Jacquet, Arvil D. Stephens, Andrew M. Averbach, David Chang, Steven E. Ettinghausen, Rory R. Dalton, Mark A. Steves, Paul H. Sugarbaker, Analysis of morbidity and mortality in 60 patients with peritoneal carcinomatosis treated by cytoreductive surgery and heated intraoperative intraperitoneal chemotherapy Cancer. ,vol. 77, pp. 2622- 2629 ,(1996) , 10.1002/(SICI)1097-0142(19960615)77:12<2622::AID-CNCR28>3.0.CO;2-T
Kazuo Hirose, Kanji Katayama, Atsushi Iida, Akio Yamaguchi, Gizo Nakagawara, Syun-ichi Umeda, Yukinori Kusaka, Efficacy of continuous hyperthermic peritoneal perfusion for the prophylaxis and treatment of peritoneal metastasis of advanced gastric cancer: evaluation by multivariate regression analysis. Oncology. ,vol. 57, pp. 106- 114 ,(1999) , 10.1159/000012016
Y. Yonemura, I. Ninomiya, M. Kaji, K. Sugiyama, K. Fujimura, T. Sawa, K. Katayama, S. Tanaka, Yasuo Hirono, K. Miwa, I. Miyazaki, Prophylaxis with intraoperative chemohyperthermia against peritoneal recurrence of serosal invasion-positive gastric cancer World Journal of Surgery. ,vol. 19, pp. 450- 454 ,(1995) , 10.1007/BF00299188
Paul H. Sugarbaker, Successful management of microscopic residual disease in large bowel cancer Cancer Chemotherapy and Pharmacology. ,vol. 43, ,(1999) , 10.1007/S002800051093
Yutaka Yonemura, Etsurou Bandou, Kazuo Kinoshita, Taiichi Kawamura, Shigeru Takahashi, Yoshio Endou, Takuma Sasaki, Effective therapy for peritoneal dissemination in gastric cancer. Surgical Oncology Clinics of North America. ,vol. 12, pp. 635- 648 ,(2003) , 10.1016/S1055-3207(03)00035-8
Etsuro Bando, Yutaka Yonemura, Keizo Taniguchi, Toshiaki Yasui, Sachio Fushida, Takashi Fujimura, Gen-ichi Nishimura, Koichi Miwa, Intraoperative lavage for cytological examination in 1,297 patients with gastric carcinoma American Journal of Surgery. ,vol. 178, pp. 256- 262 ,(1999) , 10.1016/S0002-9610(99)00162-2