Taipei Medical University

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Hsieh MC
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------>journal_name=Hepato-Gastroenterol
------>paper_name=Procedures of gastric cancer surgery.
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------>fullAbstract=OBJECTIVE: To evaluate the clinicopathologic features and the efficacy of surgical treatment in gastric stump cancer. METHODS: Forty-two patients undergone operation for gastric stump cancer, including 9 cases with Billroth I( reconstruction and 33 cases with Billroth II( reconstruction, in our department were enrolled in the study. Clinicopathological features, 5-year survival rate and prognostic factors were analyzed retrospectively. RESULTS: Gastric stump cancer occurred more frequently in anastomotic site and poorly-differentiated cancer was the common histological type. For patients with Billroth I( reconstruction, the rates of lymph node metastasis in No.1, No.3, No.10, No.11 stations were more than 30.0%, and that in No.12 station was 22.2%. For patients with Billroth II( reconstruction, the rates of lymph node metastasis in No.1, No.2, No.3, No.4, No.10, No.11, No.12 stations were more than 30.0%, and that in No.14 station was 25.0%. The rate of lymph node metastasis in jejunal mesentery was 27.3%. The percentage of pancreatic invasion and hepatoduodenal ligament invasion were 66.7% and 33.3% respectively for patients with Billroth I( reconstruction. The percentage of transverse colon invasion and pancreatic invasion were 25.0% and 75.0% respectively for patients with Billroth II( reconstruction. The overall 5-year survival rate of patients with gastric stump cancer was 0.38. The 5-year survival rates in I( , II( , III( and IIII( were 0.86, 0.50, 0.13 and 0 respectively. There were significant differences among stages(P <0.05). CONCLUSIONS: Gastric stump cancer has a particular pattern in lymph node metastasis and direct organ invasion. Surgical resection is an effective therapeutic strategy for this disease.
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------>authors2=Wu CW
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------>authors=Hsieh MC
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------>updateTitle=[Clinicopathological features and outcome of patients with remnant gastric cancer.]
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------>no=Supp I
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------>publish_year=2001
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A B C D E F G H I J K L M N O P Q R S T U V W X Y Z