It is still not clear whether palliative resection is necessary for far advanced gastric cancer. To prove this, we analyzed fifty-seven patients of stage four gastric cancer who was treated in our hospital retrospectively. Thirty-seven patients
were
subtotally gastrectomized, eight patients were totally gastrectomized and twelve patients were bypassed or explored only.
Four variables; sex, age, types of operation and types of metastasis were tested in a univariate analysis using the log-rank test.
In the result, the estimated survival rate is higher in subtotal gastrectomy group than nonresection group, although it was reduced in total gastrectomy group.
Conclusively, we may say that palliative subtotal gastrectomy prolongs the survival duration.
|