Reoperation of Recurrent Gastric Cancer.
- Author:
Seung Man PARK
1
;
Chul Hee LEE
;
Cho Hyun PARK
;
Wook KIM
;
Chang Jun AHN
;
Geun Woo LIM
;
Woo Bae PARK
;
Seung Nam KIM
;
In Chul KIM
Author Information
1. Department of Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea. smpark@ olmh.cuk.ac.kr
- Publication Type:Original Article
- Keywords:
Stomach neoplasm;
Recurrence;
Reoperation
- MeSH:
Gastric Stump;
Humans;
Intestinal Obstruction;
Liver;
Lymph Nodes;
Mortality;
Neoplasm Metastasis;
Peritoneum;
Recurrence;
Reoperation*;
Retrospective Studies;
Stomach Neoplasms*;
Survival Rate
- From:Cancer Research and Treatment
2001;33(6):478-482
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to evaluate the outcome of reoperation in recurrent gastric cancers. MATERIALS AND METHODS: We conducted a retrospective analysis of 86 patients who underwent reoperation for recurrent gastric cancer. We reviewed the time interval between first operation and reoperation, as well as the recurrence pattern, type of reoperation, and survival following reoperation. RESULTS: the average time to reoperation following curative resection was 27.8+/-25.9 months (median 18.4 months). Fifty-three cases (61.6%) of reoperation were performed within 2 years follwoing the first operation. The most common reason for reoperation was intestinal obstruction followed by gastric remnant recurrence and intra-abdominal mass. Complete resection was possible in 14 cases (16.3%) and a palliative procedure such as partial resection or bypass procedures was performed in 54 cases. In 18 cases (20.9%), simple lapalotomy was done without any aid. The most common site of recurrence was the peritoneum followed by the gastric remnant, distant lymph node and hematogenous liver metastasis. Operative mortality was 10.5%. Excluding the 9 cases of operative mortality, the mean survival time after reoperation was 15.4+/-2.5 months (mean 8.6 months). Survival following complete resection was much longer than palliative procedure and exploration only (37.9+/-8.7 vs 10.9+/-1.5 vs 4.7+/-0.8 months, p=0.000) Conclusion : The complete resection of recurrent gastric cancer can prolong survival. Early detection of localized recurrence is important in order to increase the chance of complete resection.
