Kobayashi K, Fujimoto S, Shrestha R D, Kokubun M, Kiuchi S, Konno C, Takahashi M, Ohta M, Okui K
First Dept. of Surgery, School of Medicine, Chiba University.
Gan To Kagaku Ryoho. 1990 Aug;17(8 Pt 2):1617-21.
Intraperitoneal hyperthermic perfusion (IPHP) was performed right after surgery for 31 advanced gastric cancer patients with serosal invasion and/or peritoneal dissemination. The survival rate in the IPHP group, was compared with that in the control group, 30 patients who underwent surgery alone within the same period of time. The 1-year survival rates for IPHP group and control group were 81.9% and 40.3%, respectively. The 2-year survival rates were 52.1% and 11.8%, and the 3-year survival rates were 26.1% and 0%, respectively. The survival rate for IPHP group was better than that for control group, with p = 1.46 x 10(-4). IPHP and control group with peritoneal dissemination included 21 and 9 patients respectively, and 50% survival rates were 18 months and 4.2 months, respectively. IPHP and control group with serosal invasion included 10 and 21 patients, respectively, and 8 out of 10 patients survived in the IPHP group, while 17 out of 21 patients died in the control group. These results suggest that IPHP is effective for gastric cancer patients with peritoneal dissemination and/or serosal invasion.
对31例伴有浆膜侵犯和/或腹膜播散的晚期胃癌患者在手术后立即进行腹腔热灌注(IPHP)。将IPHP组的生存率与同期仅接受手术的30例患者组成的对照组进行比较。IPHP组和对照组的1年生存率分别为81.9%和40.3%。2年生存率分别为52.1%和11.8%,3年生存率分别为26.1%和0%。IPHP组的生存率优于对照组,p = 1.46×10⁻⁴。伴有腹膜播散的IPHP组和对照组分别有21例和9例患者,50%生存率分别为18个月和4.2个月。伴有浆膜侵犯的IPHP组和对照组分别有10例和21例患者,IPHP组10例患者中有8例存活,而对照组21例患者中有17例死亡。这些结果表明,IPHP对伴有腹膜播散和/或浆膜侵犯的胃癌患者有效。