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Reoperation of Recurrent Gastric Cancer
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Seung Man Park, Chul Hee Lee, Cho Hyun Park, Wook Kim, Chang Jun Ahn, Geun Woo Lim, Woo Bae Park, Seung Nam Kim, In Chul Kim
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Cancer Res Treat. 2001;33(6):478-482. Published online December 31, 2001
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DOI: https://doi.org/10.4143/crt.2001.33.6.478
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Abstract
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The aim of this study was to evaluate the outcome of reoperation in recurrent gastric cancers. MATERIALS AND METHODS We conducted a retrospective analysis of 86 patients who underwent reoperation for recurrent gastric cancer. We reviewed the time interval between first operation and reoperation, as well as the recurrence pattern, type of reoperation, and survival following reoperation. RESULTS the average time to reoperation following curative resection was 27.8+/-25.9 months (median 18.4 months).
Fifty-three cases (61.6%) of reoperation were performed within 2 years follwoing the first operation. The most common reason for reoperation was intestinal obstruction followed by gastric remnant recurrence and intra-abdominal mass. Complete resection was possible in 14 cases (16.3%) and a palliative procedure such as partial resection or bypass procedures was performed in 54 cases. In 18 cases (20.9%), simple lapalotomy was done without any aid. The most common site of recurrence was the peritoneum followed by the gastric remnant, distant lymph node and hematogenous liver metastasis. Operative mortality was 10.5%. Excluding the 9 cases of operative mortality, the mean survival time after reoperation was 15.4+/-2.5 months (mean 8.6 months).
Survival following complete resection was much longer than palliative procedure and exploration only (37.9+/-8.7 vs 10.9+/-1.5 vs 4.7+/-0.8 months, p=0.000) Conclusion : The complete resection of recurrent gastric cancer can prolong survival. Early detection of localized recurrence is important in order to increase the chance of complete resection.
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Citations
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- Management Strategies for Locoregional Recurrence in Early-Stage Gastric Cancer: Retrospective Analysis and Comprehensive Literature Review
Ahmed Salem, Sameh Hashem, Layth Y. I. Mula-Hussain, Issa Mohammed, Ala’a Nour, Wael Shelpai, Faiez Daoud, Basem Morcos, Yasser Yamin, Imad Jaradat, Jamal Khader, Abdelatief Almousa Journal of Gastrointestinal Cancer.2012; 43(1): 77. CrossRef - Stereotactic Body Radiotherapy for Isolated Para-aortic Lymph Node Recurrence after Curative Resection in Gastric Cancer
Mi-Sook Kim, Sung Yul Yoo, Chul Koo Cho, Hyung Jun Yoo, Kwang Mo Yang, Jin Kyu Kang, Dong Han Lee, Jong Inn Lee, Ho Youn Bang, Min Suk Kim, Hae Jin Kang Journal of Korean Medical Science.2009; 24(3): 488. CrossRef - Usefulness of Reoperation after Recurrence of Gastric Cancer
Gui-Ae Jeong, Gyu-Seok Cho, Moon-Su Lee, Yong-Jin Kim, Kil-Ho Kang, Hyung-Soo Kim, Hyung-Chul Kim Journal of the Korean Surgical Society.2009; 77(2): 96. CrossRef
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