Chirurgica I, Universita degli Studi, Padova. Recent series reported increasing incidence of esophageal and cardial cancers with prognosis still severe in spite of surgical progress. Endoscopic palliation was the treatment of choice in a total of 265 patients 174 of which received laser therapy and 91 prosthesis intubation. Most responders died due to the progression of extrahepatic lesions. HAI of the FEM regimen induced a high response rate in patients with hepatic metastases of gastric cancer, and the prognosis-determining factor was the existence of extrahepatic lesions in many patients.
Surgery stays as the only effective therapy against gastric cancer.
Several factors have been postulated to influence morbidity and mortality risk in gastric cancer surgery. Determine morbidity and mortality of gastric cancer surgery and establish risk factors. We reviewed the charts of patients who underwent surgery for gastric adenocarcinoma. Morbidity and mortality is reported. Demographic factors, preoperative physical evaluation, biochemical parameters, surgical technique and tumor biology were analyzed as risk factors for morbidity and mortality.