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https://doi.org/10.24546/00098321
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2024-04-24
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00098321 (fulltext)
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メタデータID
00098321
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open access
出版タイプ
Version of Record
タイトル
Combined Gastrectomy with Adjacent Organs in T4 Gastric Cancer : Therapeutic Results and Indication
著者
Tabuchi, Yoshiki ; Nakamura, Takeshi ; Ohno, Masakazu ; Kuniyasu, Tetsuya ; Usami, Makoto ; Kuroda, Yoshikazu
著者名
Tabuchi, Yoshiki
著者名
Nakamura, Takeshi
著者名
Ohno, Masakazu
著者名
Kuniyasu, Tetsuya
著者名
Usami, Makoto
著者名
Kuroda, Yoshikazu
収録物名
Bulletin of health sciences Kobe
巻(号)
16
ページ
31-38
出版者
Graduate School of Health Sciences, Kobe University
刊行日
2000-12-27
公開日
2006-09-11
注記
本文ファイルは、国立情報学研究所CiNiiより提供されたものです。
抄録
The postoperative morbidity, mortality and survival of 244 T4 gastric cancer patients were examined to assess the therapeutic results and to clarify the indication for combined gastrectomy with adjacent (T4) organs. A total of 190 combined and 54 simple gastrectomies were performed during the 25-year period between 1969 and 1994. Fourteen (7.4%) and 7 (13.0%) patients died of the complications after combined and simple gastrectomies respectively. No statistical significant difference was found in the mortality rates between the gastrectomies. The histological examination of 190 resected specimens by the combined gastrectomy with T4 organs revealed that gastric resections with conclusive curability A, B and C were performed in 33 (17.4%), 84 (44.2%) and 73 (38.4%) cases respectively. Significant differences (P < 0.01) among 3 survival curves of the patients with curability A, B and C were found, and the 5-year survival rates were 65.5%, 35.4% and 9.2% respectively. The survival curve of 176 patients with combined gastrectomy was significantly (P < 0.01) higher than that of 47 patients with simple gastrectomy, and the 5-year survival rates were 31.3% and 4.3%. However, the survival curve and the 5-year survival rate of the patients with simple gastrectomy were not statistically different from those of the patients with curability C. These results suggest that combined gastrectomy with T4 organs in T4 gastric cancer may be indicated for the patients with surgical curability B, but not surgical curability C.
キーワード
T4 gastric carcinoma
Combined gastrectomy
Survival
Postoperative morbidity
カテゴリ
Bulletin of health sciences Kobe
>
16号(2000-12-27)
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資源タイプ
departmental bulletin paper
言語
English (英語)
ISSN
1346-8707
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NCID
AA11316362
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関連情報
NAID
110004599685
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