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Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312-773X (Online)
Issue: Volume 15, book 1, 2009
Subject Collection: Medicine
Page: 26 - 31
DOI: 10.5272/jimab.1512009_26
Online date:June 23, 2009
UP TO DATE GASTRIC CANCER SURGERY
N. Kolev, Krassimir
Ivanov, A. Tonev, V. Ignatov
I-st Clinic of Surgery, University Hospital “St. Marina”
Medical University of Varna, Bulgaria
SUMMARY: BACKGROUND: Effective palliation rather
than cure is often the most appropriate goal in the management of patients
with advanced gastric cancer.The literature to date is limited by the
imprecise use of the term palliative and subsequent variable designation
of patients into evaluable groups. STUDY DESIGN: Between 2000 and 2007,
303 patients underwent a operation for gastric adenocarcinoma. Patients
who received a noncurative (R1/R2) resection were identified. A procedure
was defined as palliative if it was performed explicitly to palliate symptoms
or improve quality of life. RESULTS: One hundred and ninety five of them
(65%) received a noncurative gastric resection. The operation was palliative
in 47% (92/195) and nonpalliative in 53% (103/195). Palliative no curative
operations aimed preservation of tumor-engaged organ’s function, enhanced
quality of patient’s life till dead, but not prolonged his life. No curative
no palliative operations aimed cytoreductive effect by removing the organ
engaged with primary tumor and improve the results of postoperative complex
treatment and prolong the patient’s life. CONCLUSIONS: There are important
differences among patients undergoing noncurative operations for gastric
cancer. Studies designed to measure palliative interventions would benefit
from precise designations of palliative intent in patients receiving noncurative
operations.
Page: 26-31; FULL TEXT PDF (156 KB)