Perforated @entity356 is rare; however, it is a serious condition associated with complications. To understand the proper management of this disease and to characterize its clinical course we reviewed available data on 16 @entity1 with perforated @entity356 . We collected data on the age and sex of the @entity1 as well as operative findings and histological features of the @entity5 . The depth of invasion and presence of lymph node @entity3 were also recorded. The Union Internationale Contre @entity5 stage, extent of resection, and surgical method used were reviewed. We also reviewed published information on the management of perforated @entity356 . The @entity189 was stage I in three cases, stage II in one case, stage III in three cases, and stage IV in nine cases. Many @entity1 had distant metastases. Fourteen @entity1 underwent gastrectomy. Two @entity1 whose preoperative condition was poor died of surgery-related complications, but @entity1 with early-stage @entity189 underwent an R0 resection (resection of the @entity5 with negative margins) and had minimal complications. We conclude that the outcome of @entity1 who were able to undergo radical surgery was good and correlated with the stage of @entity5 . It is important to perform gastrectomy rather than repair the perforation first, and a proper lymphadenectomy should follow--thus a two-step surgery when necessary.

Management of perforated XXXX : a report of 16 cases and review of world literature.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'primary tumor', 'Cancer'] @entity189 :: ('MESH:D002277', 'Disease') :: ['carcinoma'] @entity3 :: ('MESH:D009362', 'Disease') :: ['metastasis'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric carcinoma']
@entity356 :: (MESH:D013274,Disease) :: ['gastric carcinoma']
