Oyama S, Nakajima T, Ota K, Ishihara S, Wakabayashi K, Nishi M
Division of Surgery, Cancer Institute Hospital.
Gan To Kagaku Ryoho. 1994 Aug;21(11):1781-6.
To evaluate the clinical significance of the surgical procedure of left upper abdominal evisceration (LUAE), we analysed the prognosis of patients who received LUAE in the Cancer Institute Hospital from 1980 to 1990 using pair matching analysis. Survival benefits were observed in the patients with the tumor located in the upper or middle part of the stomach, and especially in those with Borrmann type 4 gastric cancer. Even in cases of peritoneal dissemination, patients who received LUAE survived longer than those with conventional total gastrectomy. These results indicated that LUAE should be a standard surgical approach for Bormann type 4 gastric cancer.
为评估左上腹脏器清除术（LUAE）手术的临床意义，我们采用配对分析方法，分析了1980年至1990年在癌症研究所医院接受LUAE治疗的患者的预后情况。位于胃上部或中部的肿瘤患者，尤其是Borrmann 4型胃癌患者，观察到了生存获益。即使在腹膜播散的病例中，接受LUAE治疗的患者比接受传统全胃切除术的患者存活时间更长。这些结果表明，LUAE应成为Borrmann 4型胃癌的标准手术方法。
