Hsieh MC |
------>authors3_c=None ------>paper_class1=1 ------>Impact_Factor=None ------>paper_class3=2 ------>paper_class2=1 ------>vol=48 ------>confirm_bywho=shiemin ------>insert_bywho=hsiehmc ------>Jurnal_Rank=None ------>authors4_c=None ------>comm_author= ------>patent_EDate=None ------>authors5_c=None ------>publish_day=None ------>paper_class2Letter=None ------>page2=CCCXII ------>medlineContent= ------>unit=E0110 ------>insert_date=20050615 ------>iam=1 ------>update_date=None ------>author=??? ------>change_event=4 ------>ISSN=None ------>authors_c=None ------>score=84 ------>journal_name=Hepato-Gastroenterol ------>paper_name=Procedures of gastric cancer surgery. ------>confirm_date=20050817 ------>tch_id=086024 ------>pmid=19921568 ------>page1=CCCXII ------>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. ------>tmu_sno=None ------>sno=11465 ------>authors2=Wu CW ------>authors3= ------>authors4= ------>authors5= ------>authors6= ------>authors6_c=None ------>authors=Hsieh MC ------>delete_flag=0 ------>SCI_JNo=None ------>authors2_c=None ------>publish_area=None ------>updateTitle=[Clinicopathological features and outcome of patients with remnant gastric cancer.] ------>language=1 ------>check_flag=None ------>submit_date=None ------>country=None ------>no=Supp I ------>patent_SDate=None ------>update_bywho=None ------>publish_year=2001 ------>submit_flag=None ------>publish_month=None |