Clinical analysis of hepatectomy for hepatic metastasis in gastric cancer patients
WU Zhi-heng
Abstract：Objective To evaluate hepatectomy for liver metastasis in patients with gastric cancer .Methods Thirty-two patients with gastric cancer had undergone hepatectomy for hepatic metastatic tumor from January 2008 to January 2013 in our hospital.Of them, 16 patients underwent radical gastrectomy and synchronous hepatectomy for liver metastasis , the other 16 patients underwent radical resection of gastric cancer and liver resection heterochronous -ly.The relationship between prognosis and clinicopathology was analyzed .Results The overall survival rates at 1 year, 3 years and 5 years were 84%, 50%and 37%, respectively.The median survival time was 32 months.The single factor analysis showed that gastric cancer invasion depth , intravascular tumor thrombi , lymphatic metastasis and intraoperative blood transfusion were related to poor prognosis while the multiple factors analysis showed that gas -tric serosal invasion , tumor thrombus and liver metastasis tumor ≥5 cm were related to poor prognosis .Conclusion Gastric cancer patients with liver metastasis who underwent hepatic resection can achieve good prognosis if hepatic metastatic tumor <5 cm or the primary gastric cancer does not invade the serosa and without tumor thrombus .
Keywords：Gastric cancerHepatectomyPrognosis
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 236-238 )