Treatment of advanced gastric carcinoma
- VernacularTitle:进展期胃癌的治疗
- Author:
Weiliang YANG
- Publication Type:Journal Article
- From:
Chinese Journal of General Surgery
2001;10(3):193-196
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the significance of combined therapy for advanced gastric carcinoma (AGC). Methods To introduce the combined therapy for AGC based on home-and-abroad literalures review combiation with author's clinical experience.Results and Conclusions Most patients with gastric carcinoma are AGC in China, the 5-year survival rate after operation is 20% to 30%, and surgery along is not the satisfactory therapy of gastric carcinoma. Therefore, AGC must be treated with combined therapy which includes surgery, chemical therapy and biologic therapy, etc. The concept of radical operation AGC should be renewed: (1) Adequately resection of primary carcinoma and surounding tisusses; (2) resecting perigastric lymph nodes; (3) eliminating the cells falling away the tumor in abdominal cavity completely. The first two cases need standard operation, which should be introduced. Intraperitoneal chemotherapy should be carried out after operation in the third case. Palliative operation and surgery for perforated gastric carcinoma will prolong survival period of the patient with AGC.
