TY - JOUR
T1 - Evaluation of Hepatic Resection in Liver Metastasis of Gastric Cancer
AU - Nonaka, Yukiko
AU - Hiramatsu, Kazuhiro
AU - Kato, Takehito
AU - Shibata, Yoshihisa
AU - Yoshihara, Motoi
AU - Aoba, Taro
AU - Kamiya, Tadahiro
N1 - Publisher Copyright:
© 2018, The Author(s).
PY - 2019/3/6
Y1 - 2019/3/6
N2 - Gastric cancer is the second most common malignancy globally and the third most common cause of cancer-related deaths in Japan. In gastric cancer, benefit of surgical resection of liver metastasis, which was shown in colorectal cancer, is not well established. The present study aimed to examine the feasibility of hepatic resection for liver metastasis of gastric cancer. In this retrospective study, we reviewed the medical records of 10 patients with liver-only metastases of gastric cancer who underwent hepatectomy among 2043 patients with gastric cancer who underwent gastric resection between January and December 2016 at a single institution in Japan. Median 1-, 3-, and 5-year overall survival (OS) rates were 78.0%, 33.3%, and 22.2%, respectively, among 10 patients who underwent hepatic resection. There was a significant difference in OS rates between tumors measuring ≥ 5 cm and < 5 cm (hazard ratio [HR] 6.524, 95% confidence interval [CI] 1.145–37.171, p = 0.035). The longest survival was 205 months for one patient who was alive at the time of the analysis. Hepatic resection of liver metastasis in gastric cancer was associated with long-term survival in some patients. Additionally, primary tumor size was associated with long-term survival.
AB - Gastric cancer is the second most common malignancy globally and the third most common cause of cancer-related deaths in Japan. In gastric cancer, benefit of surgical resection of liver metastasis, which was shown in colorectal cancer, is not well established. The present study aimed to examine the feasibility of hepatic resection for liver metastasis of gastric cancer. In this retrospective study, we reviewed the medical records of 10 patients with liver-only metastases of gastric cancer who underwent hepatectomy among 2043 patients with gastric cancer who underwent gastric resection between January and December 2016 at a single institution in Japan. Median 1-, 3-, and 5-year overall survival (OS) rates were 78.0%, 33.3%, and 22.2%, respectively, among 10 patients who underwent hepatic resection. There was a significant difference in OS rates between tumors measuring ≥ 5 cm and < 5 cm (hazard ratio [HR] 6.524, 95% confidence interval [CI] 1.145–37.171, p = 0.035). The longest survival was 205 months for one patient who was alive at the time of the analysis. Hepatic resection of liver metastasis in gastric cancer was associated with long-term survival in some patients. Additionally, primary tumor size was associated with long-term survival.
KW - Gastric cancer
KW - Liver metastasis
KW - Liver surgery
KW - Management of metastasis
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U2 - 10.1007/s13193-018-0827-6
DO - 10.1007/s13193-018-0827-6
M3 - Article
AN - SCOPUS:85063051501
SN - 0975-7651
VL - 10
SP - 204
EP - 209
JO - Indian Journal of Surgical Oncology
JF - Indian Journal of Surgical Oncology
IS - 1
ER -