1988 Volume 49 Issue 8 Pages 1352-1357
We investigated the indication for combined resection of the stomach and adjacent organs in patients diagnosed as having gastric cancer with macroscopic invasion to adjacent organs. The aim of the study was to determine whether the prognosis was related to regions of the gastric wall showing carcinoma invasion, macroscopic type, histological type, location, numbers of invaded adjacent organs, grade of disseminated peritoneal metastasis, grade of liver metastasis, curability of lymph nodes and the histological vertical depth of the lesion. It was found that in patients who underwent combined resection of the stomach and adjacent organs, the prognosis was related to the number of invaded adjacent organs, grade of disseminated peritoneal metastasis, presence or absence of liver metastasis and the grade of curability of lymph nodes, whereas it was not related to the regions of gastric wall showing carcinoma invasion, macroscopic type, histological type, location or vertical depth of the lesion. As mentioned above, combined resection of gastric cancer with macroscopic invasion to adjacent organs is indicated for patients who have only one invaded organ, little or no disseminated peritoneal metastasis and no liver metastasis. Consequently, it is concluded that it is important to perform this type of operation in which the metastatic or majority of the regional lymph nodes are resected.
