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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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The benefits of resection for gastric carcinoma patients with non-curative factors remaincontroversial. Thus, we evaluated the survival benefits of resection in these gastriccarcinoma patients. We reviewed the hospital records of 467 gastric carcinoma patientswith non-curative factors who had resection (n=305) and compared their clinicopathologicalfindings with individuals (n=162) who underwent bypass or explorationfrom 1996 to 2010. The 3-year survival rate of patients who had resection was higherthan was that of patients who did not (13.2 vs. 7.2%, respectively p＜0.001). Cox’sproportional hazard regression analysis revealed that only one factor was an independent,statistically significant prognostic parameter: the presence of peritonealdissemination (risk ratio, 1.37; 95% confidence interval, 1.04-1.79; p＜0.05). The 3-yearsurvival rate of patients with peritoneal dissemination was higher in individuals whounderwent resection compared with those who did not (9.5 vs. 4.7%, respectively; p＜0.001). The current results highlight the improved survival rates of gastric carcinomapatients with non-curative factors who underwent surgery compared with those whodid not. Although resection is not curative in this group of patients, we still recommendperforming the procedure.
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참고문헌 (17)
참고문헌 신청
Wu CW / 1997 / Prognostic indicators for survival after curative resection for patients with carcinoma of the stomach / Dig Dis Sci 42:1265~1269
Hartgrink HH / 2002 / Value of palliative resection in gastric cancer / Br J Surg 89:1438~1443
Saidi RF / 2006 / Is there a role for palliative gastrectomy in patients with stage IV gastric cancer? / World J Surg 30:21~27
Dittmar Y / 2012 / Non-curative gastric resection for patients with stage 4 gastric cancer--a single center experience and current review of literature / Langenbecks Arch Surg 397:745~753
Kulig P / 2012 / Non-curative gastrectomy for metastatic gastric cancer: rationale and long-term outcome in multicenter settings / Eur J Surg Oncol 38:490~496
Hartgrink HH / 2002 / Value of palliative resection in gastric cancer / Br J Surg 89:1438~1443
Saidi RF / 2006 / Is there a role for palliative gastrectomy in patients with stage IV gastric cancer? / World J Surg 30:21~27
Dittmar Y / 2012 / Non-curative gastric resection for patients with stage 4 gastric cancer--a single center experience and current review of literature / Langenbecks Arch Surg 397:745~753
Kulig P / 2012 / Non-curative gastrectomy for metastatic gastric cancer: rationale and long-term outcome in multicenter settings / Eur J Surg Oncol 38:490~496
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