KMID : 0870420010050010065
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Korean Journal of Hepato-Biliary-Pancreatic Surgery 2001 Volume.5 No. 1 p.65 ~ p.71
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Outcome of hepatic resection for metastatic gastric cancer
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Roh Hye-Rin
Suh Kyung-Suk Lee Hyuk-Joon Yang Han-Kwang Choi Kook-Jin Lee Kuhn-Uk
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Abstract
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Background/Aims: The role of hepatic resection for metastatic gastric cancer is less well defined due to its tendency of multiple intra- and extra-hepatic metastatic patterns. We have reviewed our experiences in the gastric cancer patients with liver metastases to define good candidates for the prolonged survival by hepatic resection.
Methods: Records of eleven patients who underwent hepaatic resection for metastatic gastric cancer from January 1988 to December 1996 at Seooul National University Hospital were reviewed. The clinicopathologic features and their long-term results were analysed.
Results: All resected hepatic metastases were solitary mass. Among eight patients with synchronous liver metastases, only one patient who had early gastric cancer with lymph node metastases (T1N2M1) was alive for 9 years 6 months after hepatic resection without recurrence. Among three patients with metachronous liver metastases, two patients who had advanced gastric cancer with lymph node metastases (T3N2M0, T2N1M0 at initial operation, respectively) survived 8 years 6 months and 3 years after hepatic resection, respectively. Median survival time of synchronous and metachronous liver metastases were 13.0 and 74.3 months, respectively.
Conclusion: Good prognosis may be expected in some selected patients who underwent hepatic resection for metastatic gastric cancer.
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KEYWORD
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hepatectomy, metastatic hepatic neoplasm, gastric cancer, treatment outcome
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