Surgical outcome evaluation of perforated gastric cancer: from the aspects of both acute care surgery and surgical oncology

Shang Yu Wang, Chih Ho Hsu, Chien Hung Liao, Chih Yuan Fu, Chun Hsiang Ouyang, Chi Tung Cheng, Jun Te Hsu, Ta Sen Yeh, Chun Nan Yeh*

*Corresponding author for this work

Research output: Contribution to journalJournal Article peer-review

8 Scopus citations

Abstract

Background: Perforated gastric cancer (PGC) is a rare condition of gastric cancer (GC). In this study, we sought to assess the outcome of PGC from the aspects of both acute care surgery and surgical oncology at a single institute, Chang Gung Memorial Hospital (CGMH). Methods: From 1997 to 2013, 6864 patients were diagnosed with GC and 2738 were diagnosed with gastroduodenal perforation at CGMH. In total, 29 patients with PGC were identified. Immediate surgical and long-term oncologic outcomes were evaluated after an appropriate matching process was performed. Results: The immediate surgical outcome of PGC, i.e., the hospital mortality rate within 30 d after surgery, did not significantly differ from that of non-cancer related gastroduodenal perforation. The long-term oncologic outcome, with matching by age, gender, year of surgery and AJCC 7th stage grouping, also did not significantly differ from that of GC without perforation. Conclusions: Aggressive surgical treatment, including an initial emergency procedure for containing peritonitis and radical surgery for GC, may benefit PGC patients in terms of both the immediate and oncologic outcomes.

Original languageEnglish
Pages (from-to)1371-1376
Number of pages6
JournalScandinavian Journal of Gastroenterology
Volume52
Issue number12
DOIs
StatePublished - 02 12 2017

Bibliographical note

Publisher Copyright:
© 2017 Informa UK Limited, trading as Taylor & Francis Group.

Keywords

  • PPU
  • Perforated gastric cancer
  • acute care surgery
  • gastric adenocarcinoma
  • perforated peptic ulcer

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