Hepatectomy for metastatic liver carcinoma in patients of gastric cancer

VernacularTitle:胃癌肝转移的肝切除治疗及预后分析
Author: Jianguo ZHOU ; Dongbing ZHAO ; Jianjun ZHAO ; Xinyu BI ; Jianqiang CAI
Publication Type:Journal Article
Keywords: Stomach neoplasms; Neoplasm metastasis; Hepatectomy; Prognosis
From: Chinese Journal of General Surgery 2010;25(10):785-788
CountryChina
Language:Chinese
Abstract: Objective To investigate the effectiveness of surgical resection for metastatic liver cancer in patients of gastric carcinoma, and evaluate the prognosis. Methods Clinical data of 24 gastric cancer cases undergoing hepatectomy for hepatic metastatic tumor were collected retrospectively. There were 18 cases of synchronous resection and 6 cases of heterochronous resection. The prognostic values of clinicopathological factors were assessed by univariate and multivariate analyses. Results Postoperatively all cases were followed up until the death of the patietns. Counting from the time of liver resection the 1-,3- and 5-year survival rate was 67%, 21% and 13% respectively. Univariate analysis showed lymph node involved, tumor size of hepatic metastases, vascular invasion and R0 margin as significant prognostic factors;Multivariate analysis indicated that tumor size of hepatic metastases and vascular invasion were independent prognostic factors influencing the survival. Conclusion These results suggest that for patients with liver metastasia from gastric cancer, better prognosis can be obtained by surgical treatment.