Therapeutic significance of noncurative gastrectomy for gastric cancer with liver metastasis

Therapeutic significance of palliative operations for gastric cancer for survival and quality of life

“…Maeta et al [6] reported that, in patients with slight peritoneal dissemination (P 1 ), gastrectomy with D 2 or D 3 lymphadenectomy was associated with a significantly improved postoperative survival compared to that with D 1 dissection, while this was not the case in patients with moderate to severe peritoneal disseminations (P 2 or P 3 ). A significant increase in survival was obtained in patients with liver metastases limited to one lobe without peritoneal metastasis who underwent gastrectomy [7,8]. However, Chow et al [9] reported that gastrectomy performed on patients with gastric cancer and liver metastases neither prolonged life nor improve the quality of survival, which was evaluated by the duration of the stay at home.…”

Prognostic Factors for Stage IV Gastric Cancer

“…Past literatures have proven that when stage IV is diagnosed by only one M factor, conducting resection may prolong survival. [17][18][19][20][21][22] Therefore, removing the primary tumor is an option even if responsive chemotherapy is available today.…”

Variables Influencing the Choice and Outcome of Noncurative Surgery for Advanced Gastric Cancer

“…Gastric resection is also recommended in the presence of distant métastasés when the latter can be surgically excised. In fact, improved survival was observed in pa tients with resected métastasés [2,13]. It also appears that when gastric resection is the elected procedure, then subtotal gastric resection is to be preferred since it is associated with less operative mortality and better long term survival compared to total gastrectomy [3,6,8,14].…”