書誌事項
- タイトル別名
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- Diagnosis and Surgical Treatment of 8 Patients with Perforated Gastric Cancer.
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抄録
The diagnosis and surgical treatment of 8 patients with perforated gastric cancer were reviewed. The incidence of perforated gastric cancer was 1.2% among 675 gastric cancers and 22.9% among 35 gastric perforations. None of the cases was diagnosed as perforated gastric cancer on admission. Only 3 patients were suspected of having a malignancy intraoperatively. There were no clinical parameters that could distinguished the 8 perforated gastric cancer patients from the 27 perforated gastric ulcer patients. Urgent primary gastrectomy was performed to treat 4 perforated gastric cancer patients and 14 perforated gastric ulcer patients. The morbidity and mortality of urgent primary gastrectomy were 55.6% and 11.1%, respectively. To perform gastrectomy with standard lymph node dissection safely, we carried out secondary (elective) gastrectomy in 4 cases of perforated gastric cancer (after simple closure in 3 cases and conservative therapy in 1 case). Six patients with perforated gastric cancer have survived for over 2 years, and the median survival time of the 8 cases was 40 months. This suggested that a considerable number of patients with perforated gastric cancer can survive for a long period after radical gastrectomy. We recommend secondary radical gastrectomy within a week after simple closure as treatment for perforated gastric cancer.
収録刊行物
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- 日本腹部救急医学会雑誌
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日本腹部救急医学会雑誌 20 (7), 1023-1028, 2000
日本腹部救急医学会
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詳細情報 詳細情報について
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- CRID
- 1390001204733604864
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- NII論文ID
- 130004086890
- 10008883306
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- NII書誌ID
- AN10426469
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- ISSN
- 18824781
- 13402242
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- 本文言語コード
- ja
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- データソース種別
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- JaLC
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可