51. A method to identify the best candidates for multiorgan resection among patients with T4 gastric carcinoma
- Author
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A. Beltrán-Ortega, José F. Carrillo, Vincenzo Aiello-Crocifoglio, Roberto Herrera-Goepfert, R. Brom-Valladares, Dolores Gallardo-Rincón, M. Becker, and Luis F. Oñate-Ocaña
- Subjects
Oncology ,Cancer Research ,medicine.medical_specialty ,business.industry ,medicine.medical_treatment ,Gastric carcinoma ,Gastroenterology ,Resection ,Internal medicine ,medicine ,Gastrectomy ,business ,Selection (genetic algorithm) - Abstract
15141 Background: Background: Indications for gastrectomy in T4 gastric carcinoma (GC) remain controversial. Our aim was to develop a method for the selection of patients with T4 GC with best chances to receive a benefit from multiorgan resection. Methods: We analyzed a cohort of patients with T4 GC treated from January 1987 to December 2005. Relevant clinical, pathological and therapeutic variables were recorded. Prognostic factors associated with survival were defined by Kaplan-Meier and Cox’s methods. Factors associated to surgical morbidity were selected by Logistic Regression analysis. Results: 718 patients were included (gastrectomy performed in 169). Presence of metastasis (Hazard ratio=1.68 [HR], 95% confidence interval [CI] 1.19–2.36), albumin No significant financial relationships to disclose.
- Published
- 2007
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