Palliative surgery in carcinoma of the stomach. Retrospective study of 112 consecutive cases.

Authors

  • J C de Almeida Departamento de Cirurgia, Instituto Português de Oncologia, Centro de Lisboa.
  • A Bettencourt
  • C S Costa
  • J M de Almeida

DOI:

https://doi.org/10.20344/amp.3065

Abstract

From January 1980 until October 1991 we operated 112 patients with Gastric cancer in which Surgery was considered palliative by intra-operative criteria or by pathological analysis of the resected specimen. Locally irresectable tumour was found in 24.1% of the cases, peritoneal metastases (mets.) in 21.4%, liver mets. in 17%, lymphatic mets. in 16.1%, and other mets. in 21.4%. Resections were possible in 57 patients (50.8%), with a mortality rate of 10.5%, which was similar to the mortality in the non-resection group (7%) p = 0.2. Median survival for the entire group was 7 months, the non-resection group had a median survival of 4 months, and the resection group of 18 months (p = 6.480 e-0.7). Locally advanced tumors had a better outcome than the metastatic group (p = 0.05), but no difference was observed between patients with liver or peritoneal mets. Patients in stage 3 and 4 of the disease had a different prognosis (p = 0.03), and the resection group within each stage fared better.

Downloads

Download data is not yet available.

How to Cite

1.
de Almeida JC, Bettencourt A, Costa CS, de Almeida JM. Palliative surgery in carcinoma of the stomach. Retrospective study of 112 consecutive cases. Acta Med Port [Internet]. 1993 Feb. 27 [cited 2024 Nov. 22];6(2):55-8. Available from: https://actamedicaportuguesa.com/revista/index.php/amp/article/view/3065

Issue

Section

Arquivo Histórico