RESUMEN
BACKGROUND/AIMS: The objective of our paper is to report on the remote results of patients with gastric cancer treated by mini-invasive surgery as a surgical tool with the "intention to treat with laparoscopy". METHODOLOGY: Between June 1993 and January 2004, 101 patients comprising 72 men and 29 women with gastric adenocarcinoma were prospectively selected by two hospitals based on prior agreement (the CHU Charleroi, Belgium, and Zumárraga Hospital, the Basque Country, Spain). Patients with adenocarcinoma of the cardia were excluded. Average age of the patients was 67 (37-83). RESULTS: Postoperative mortality within 60 days of operation was of 5 patients; 87 patients were therefore properly followed-up for an average of 41 months (7-129). Average survival time for 10 non-resected patients was 4.5 months. Average survival rate of the 10 palliatively resected patients was 7.1 months. Actuarial 5-year survival rate RO-type surgery was 34%. The global actuarial 5-year survival rate after resective surgery was 29%. CONCLUSIONS: Laparoscopic gastrectomy with any kind of lymphadenectomy is a heavy but safe operation, and produces acceptable mortality and morbidity rates in patients with advanced gastric cancer in a general poor condition. Laparoscopic gastrectomies for locally advanced cancers are equivalent to those reported by laparotomy as far as long-term oncological results are concerned.
Asunto(s)
Adenocarcinoma/patología , Adenocarcinoma/cirugía , Gastrectomía , Laparoscopía , Neoplasias Gástricas/patología , Neoplasias Gástricas/cirugía , Adenocarcinoma/mortalidad , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Estudios de Seguimiento , Gastrectomía/efectos adversos , Humanos , Masculino , Persona de Mediana Edad , Estudios Prospectivos , Neoplasias Gástricas/mortalidad , Tasa de Supervivencia , Resultado del TratamientoAsunto(s)
Quiste Broncogénico/diagnóstico , Cuello , Nódulo Tiroideo/diagnóstico , Adulto , Diagnóstico Diferencial , Humanos , MasculinoAsunto(s)
Hiperparatiroidismo/complicaciones , Pancreatitis/complicaciones , Enfermedad Aguda , Adenoma/complicaciones , Adenoma/diagnóstico por imagen , Adenoma/patología , Adenoma/cirugía , Anciano , Estudios de Seguimiento , Humanos , Hiperparatiroidismo/diagnóstico , Hiperparatiroidismo/etiología , Masculino , Pancreatitis/diagnóstico , Glándulas Paratiroides/patología , Neoplasias de las Paratiroides/complicaciones , Neoplasias de las Paratiroides/diagnóstico por imagen , Neoplasias de las Paratiroides/patología , Neoplasias de las Paratiroides/cirugía , Factores de Tiempo , Tomografía Computarizada por Rayos XRESUMEN
A 45 year old man with personal history of B-Lactamic antibiotics allergy and one episode of hemochezia was admitted to hospital because of abdominal pain in the lower right quadrant and nausea, and diagnosed of acute appendicitis. At laparotomy he was found to have histological evidence of transmural eosinophilic enteritis in the terminal ileon and ascitis. After an intestinal resection a full evaluation was performed.