Surgical teratment for gastric cancer patients with liver metastasis
10.3760／cma.j.issn.0253?3766.2019.03.005
- VernacularTitle:胃癌肝转移的外科治疗
- Author:
Kecheng ZHANG
1
;
Pengpeng WANG
;
Lin CHEN
Author Information
1. 解放军总医院普通外科
- Keywords:
Gastric neoplasms;
Neoplasms metastasis,Liver;
Curative resection;
Cytoreductive surgery;
Multidisciplinary therapy;
Prognosis
- From:
Chinese Journal of Oncology
2019;41(3):183-186
- CountryChina
- Language:Chinese
-
Abstract:
Multidisciplinary therapy is considered as an acceptable option for gastric cancer patients with liver metastases currently, while the effectiveness of surgery is still controversial. Although there was no improved survival for cytoreductive surgery, some evidences showed that some selected patients with the combination surgery of gastric cancer and liver metastases could benefit from curative resection. Compared to cytoreductive surgery for gastric cancer patients with liver metastasis, curative resection did not increase the incidence of complications or mortality. Therefore, surgery?based multidisciplinary therapy would be appropriate for some seleted gastric cancer patients with liver metastasis. In highly selected patients with neoadjuvant chemotherapy, curative resection with both primary and metastatic tumor could improve long?term survival benefits. Furthermore, the long?term survival and quality of life should be considered of equal importance in future studies.
