1.The survival duration and prognostic factors after surgical treatment of gastric cancer
Journal of Practical Medicine 2004;478(4):50-52
The cross-sectional descriptive study was performed at Hospital K from January 1995 to December 1999 on 171 patients with gastric cancer. Among them, 110 had had fully information about their status. 31% had got 5 years old survival ability with the mean survival duration of 40 months. Post operative prognostic significant factors: the level of invasion of tumor, 5 years old survival ability minimized progressively from T1 to T4 reached 100%, 39%, 18% and 0%, glandular metastasis and distant meastasis which affected to survival duration; the tumor of a size < 5cm had got better prognosis versus that of > 5cm of size and 10cm of size; prognosis was better with higher differentiated type of cells than those of lower defferentiated type; prognosis was better in intestinal type than in dispersing type. The age, the gender, the weight loss were not related to postoperative survival duration.
Stomach Neoplasms
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Surgery
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Therapeutics
5.Diagnosis and surgical treatment of relapsed gastric cancer.
Journal of Practical Medicine 2002;435(11):8-10
A study on 24 patients with the relapsed gastric cancer /764 patients with gastric cancer operated in ViÖt §øc Hospital during 1993-1997 has shown that the number of the relapsed gastric cancer account for 3,1% total number of operation for gastric cancer. 38,3% patients received the second operation within the first 6 - 24 month of the first operation. 70,8% patients found the invasive tumor vegetation in connective edge. Only 16,7% patients found non- invasive relapsed cancer in connective edge., short cut (20,8%); biopsy testing operation and jejunum-open for eating (12,5%); biopsy testing operation (37,5%).The post operative mortality rate(12,5%).
Stomach Neoplasms
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Diagnosis
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therapeutics
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surgery
6.Reconstruction oesophageal-intestinal condinuity after total gastrectomy
Journal Ho Chi Minh Medical 2004;8(2):125-127
The prevelence of gastric cancer in population is different according to areas but ingeneral, it is more likely in all countries. Surgery is the main treatment. Treatable surgery is gastrectomy. There are 2 different views in cutting total gastrectomy i.e. total gastrectomy based on rules and total gastrectomy by requests. There are many reconstruction oesophageal-intestinal condinuity in total gastrectomy in order to response 1 or 2 aims as follows: To create 1 sac instead of cut gastrectomy, to make patients eat more, their health will be better; Foods is intested by natural physiological route, through duodenum to small intestine in order to produce more bile liquid and pancreatic juice during digestion
Stomach Neoplasms
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Therapeutics
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surgery
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gastrectomy
7.Esophago-intestinal anastomotic leakage after total gastrectomy in gastric cancer
Journal of Practical Medicine 2002;435(11):35-37
149 patients with gastric epithelioma indicated the total gastrectomy in the army central hospital 108 during 1994-2000. The esophago-intestinal anastomotic leakage, a severe complication occurred in 2 patients among group received the esophago-intestinal anastomosis as method of omega. There was no this complication in group received the operation as method of lygidakis (making the false stomach). This study indicated that technique of anastomosis played an important role in the esophago-intestinal anastomotic leakage.
Stomach Neoplasms
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complications
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surgery
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therapeutics
8.Application of laparoscopy-assisted gastrectomy in elderly patients with gastric cancer.
Chinese Journal of Gastrointestinal Surgery 2014;17(8):753-755
The number of elderly patients with gastric cancer operation is increasing, who were distinctly characterized by organ dysfunction, more complications, high risk of anesthesia, more postoperative complications and high mortality. Laparoscopy-assisted gastrectomy as a safe minimally invasive operation has been widely recognized and popular in clinical practice, but many contradictions and problems remain with its application in the elderly patients with gastric cancer. Thus this paper summarized the application of laparoscopy-assisted gastrectomy in elderly patients.
Gastrectomy
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methods
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Humans
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Laparoscopy
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Stomach Neoplasms
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surgery
9.Indications of laparoscopic surgery for gastric cancer.
Chinese Journal of Gastrointestinal Surgery 2014;17(8):750-752
Consensus has been reached on the advantage and validity of laparoscopic surgery, but how to extend the usage of laparoscopic surgery in gastric cancer properly in China remains a problem as advanced gastric cancer occupies the majority of patients here. In the treatment of early gastric cancer, laparoscopic surgery nowadays is one of the standard treatments but surgeons still need to follow the indication of surgery strictly to avoid the excessive treatment in patients who are indicated for endoscopic therapy. There is still lack of evidence on the application of laparoscopic surgery in the treatment of advanced gastric cancer, therefore these procedures should be performed in the context of clinical trials. With the development of laparoscopic surgery in the treatment of advanced gastric cancer, training, certification and supervision systems are still not established. More attention should be paid to the choice of patients during the early period of learning curves and the indication of advanced stage.
Gastrectomy
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Humans
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Laparoscopy
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Stomach Neoplasms
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surgery
10.The surgical accident and complication of the total gastrectomy to treat the gastric cancer.
Journal of Practical Medicine 2002;430(9):33-37
149 patients with gastric epithelioglandular cancer were operated for the total gastrectomy in the Army Central Hospital No 108 from 1/1994 to 1/200 (male: 86; female: 63), average ages: 50, divided 2 groups according to the 2 methods of the different digestive circulation recovering. The results have shown that the rate of the tumors in the determined positions as vertical axis and perimeter of stomach the average size of the tumor, the average duration of operation and the rate of accidents were not different between two groups. The average rate of accident during operation was 6,7%, the rate of surgical complication was 18,1%.There was no death.
Accidents
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Complications
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Gastrectomy
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Stomach Neoplasms
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surgery
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therapeutics