Outcome of D2 Gastrectomy with Curative Intent for Patients with Linitis Plastica: 10-Year Experience

Authors

  • Chakrapan Euanorasetr Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400

Abstract

Background: Survival in patients with linitis plastica is poorer than that in patients with other macroscopic types of gastric carcinoma. No consensus has been reached regarding the therapeutic value of radical surgery for this condition. The aim of this study was to review and analyze the clinicopathological features and surgical outcome in patients with linitis plastica who underwent D2 gastrectomy with curative intent.

Patients and Methods: Medical records of 97 patients with gastric carcinoma who underwent D2 gastrectomy with curative intent during the 10-year period between October 1995 and September 2005 were retrospectively reviewed.

Results: Linitis plastica was diagnosed in 14 patients (14.4%). Significant differences were found with respect to tumor location, histology, angiolymphatic invasion, peritoneal washing cytology and TNM staging with other macroscopic type of gastric carcinoma. The survival outcome in patients with linitis plastica was worse than in patients with other macroscopic type of gastric carcinoma, with 5-year overall survival rate of 10% VS 68%, respectively.

Conclusions: D2 gastrectomy should be performed only in patients with linitis plastica with a chance of cure. 

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Published

2006-09-29

How to Cite

1.
Euanorasetr C. Outcome of D2 Gastrectomy with Curative Intent for Patients with Linitis Plastica: 10-Year Experience. Thai J Surg [Internet]. 2006 Sep. 29 [cited 2024 Nov. 23];27(3):101-7. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242000

Issue

Vol. 27 No. 3 (2006): July - September

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.