Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer
Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EM...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Roberts, Patrick [verfasserIn] Seevaratnam, Rajini [verfasserIn] Cardoso, Roberta [verfasserIn] Law, Calvin [verfasserIn] Helyer, Lucy [verfasserIn] Coburn, Natalie [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2011 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
Enthalten in: Gastric Cancer - Springer-Verlag, 2002, 15(2011), Suppl 1 vom: 26. Aug., Seite 108-115 |
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| Übergeordnetes Werk: |
volume:15 ; year:2011 ; number:Suppl 1 ; day:26 ; month:08 ; pages:108-115 |
| Links: |
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| DOI / URN: |
10.1007/s10120-011-0086-5 |
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SPR009318240 |
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| 520 | |a Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. | ||
| 650 | 4 | |a Gastric cancer |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Pancreaticoduodenectomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Gastrectomy |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Seevaratnam, Rajini |e verfasserin |4 aut | |
| 700 | 1 | |a Cardoso, Roberta |e verfasserin |4 aut | |
| 700 | 1 | |a Law, Calvin |e verfasserin |4 aut | |
| 700 | 1 | |a Helyer, Lucy |e verfasserin |4 aut | |
| 700 | 1 | |a Coburn, Natalie |e verfasserin |4 aut | |
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10.1007/s10120-011-0086-5 doi (DE-627)SPR009318240 (SPR)s10120-011-0086-5-e DE-627 ger DE-627 rakwb eng Roberts, Patrick verfasserin aut Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. Gastric cancer (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Gastrectomy (dpeaa)DE-He213 Seevaratnam, Rajini verfasserin aut Cardoso, Roberta verfasserin aut Law, Calvin verfasserin aut Helyer, Lucy verfasserin aut Coburn, Natalie verfasserin aut Enthalten in Gastric Cancer Springer-Verlag, 2002 15(2011), Suppl 1 vom: 26. Aug., Seite 108-115 (DE-627)SPR009286586 nnns volume:15 year:2011 number:Suppl 1 day:26 month:08 pages:108-115 https://dx.doi.org/10.1007/s10120-011-0086-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 15 2011 Suppl 1 26 08 108-115 |
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10.1007/s10120-011-0086-5 doi (DE-627)SPR009318240 (SPR)s10120-011-0086-5-e DE-627 ger DE-627 rakwb eng Roberts, Patrick verfasserin aut Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. Gastric cancer (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Gastrectomy (dpeaa)DE-He213 Seevaratnam, Rajini verfasserin aut Cardoso, Roberta verfasserin aut Law, Calvin verfasserin aut Helyer, Lucy verfasserin aut Coburn, Natalie verfasserin aut Enthalten in Gastric Cancer Springer-Verlag, 2002 15(2011), Suppl 1 vom: 26. Aug., Seite 108-115 (DE-627)SPR009286586 nnns volume:15 year:2011 number:Suppl 1 day:26 month:08 pages:108-115 https://dx.doi.org/10.1007/s10120-011-0086-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 15 2011 Suppl 1 26 08 108-115 |
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10.1007/s10120-011-0086-5 doi (DE-627)SPR009318240 (SPR)s10120-011-0086-5-e DE-627 ger DE-627 rakwb eng Roberts, Patrick verfasserin aut Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. Gastric cancer (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Gastrectomy (dpeaa)DE-He213 Seevaratnam, Rajini verfasserin aut Cardoso, Roberta verfasserin aut Law, Calvin verfasserin aut Helyer, Lucy verfasserin aut Coburn, Natalie verfasserin aut Enthalten in Gastric Cancer Springer-Verlag, 2002 15(2011), Suppl 1 vom: 26. Aug., Seite 108-115 (DE-627)SPR009286586 nnns volume:15 year:2011 number:Suppl 1 day:26 month:08 pages:108-115 https://dx.doi.org/10.1007/s10120-011-0086-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 15 2011 Suppl 1 26 08 108-115 |
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10.1007/s10120-011-0086-5 doi (DE-627)SPR009318240 (SPR)s10120-011-0086-5-e DE-627 ger DE-627 rakwb eng Roberts, Patrick verfasserin aut Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. Gastric cancer (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Gastrectomy (dpeaa)DE-He213 Seevaratnam, Rajini verfasserin aut Cardoso, Roberta verfasserin aut Law, Calvin verfasserin aut Helyer, Lucy verfasserin aut Coburn, Natalie verfasserin aut Enthalten in Gastric Cancer Springer-Verlag, 2002 15(2011), Suppl 1 vom: 26. Aug., Seite 108-115 (DE-627)SPR009286586 nnns volume:15 year:2011 number:Suppl 1 day:26 month:08 pages:108-115 https://dx.doi.org/10.1007/s10120-011-0086-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 15 2011 Suppl 1 26 08 108-115 |
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10.1007/s10120-011-0086-5 doi (DE-627)SPR009318240 (SPR)s10120-011-0086-5-e DE-627 ger DE-627 rakwb eng Roberts, Patrick verfasserin aut Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer 2011 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. Gastric cancer (dpeaa)DE-He213 Pancreaticoduodenectomy (dpeaa)DE-He213 Gastrectomy (dpeaa)DE-He213 Seevaratnam, Rajini verfasserin aut Cardoso, Roberta verfasserin aut Law, Calvin verfasserin aut Helyer, Lucy verfasserin aut Coburn, Natalie verfasserin aut Enthalten in Gastric Cancer Springer-Verlag, 2002 15(2011), Suppl 1 vom: 26. Aug., Seite 108-115 (DE-627)SPR009286586 nnns volume:15 year:2011 number:Suppl 1 day:26 month:08 pages:108-115 https://dx.doi.org/10.1007/s10120-011-0086-5 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 15 2011 Suppl 1 26 08 108-115 |
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Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. 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Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer |
| abstract |
Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. |
| abstractGer |
Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. |
| abstract_unstemmed |
Background The purpose of this study was to identify and synthesize findings from all articles on surgical and long-term outcomes in patients with gastric cancer undergoing gastrectomy combined with pancreaticoduodenectomy (PD). Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. Long-term survival (37.3% at 5 years) in gastric cancer patients with PD combined with gastrectomy was described; however, survival was poor in the setting of incurable factors. Due to heterogeneity of patients and staging techniques in the case series no recommendations can be made on the appropriate selection criteria for patients undergoing PD and gastrectomy. Conclusion PD for gastric cancer invading the pancreas is associated with a higher morbidity; given the heterogeneous data, defining exact selection criteria is difficult. |
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| title_short |
Systematic review of pancreaticoduodenectomy for locally advanced gastric cancer |
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https://dx.doi.org/10.1007/s10120-011-0086-5 |
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| author2 |
Seevaratnam, Rajini Cardoso, Roberta Law, Calvin Helyer, Lucy Coburn, Natalie |
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Seevaratnam, Rajini Cardoso, Roberta Law, Calvin Helyer, Lucy Coburn, Natalie |
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| doi_str |
10.1007/s10120-011-0086-5 |
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2024-07-04T01:35:23.274Z |
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Methods Electronic literature searches were conducted using Medline, EMBASE, and Cochrane databases from January 1, 1985, to December 31, 2009. Results Eight retrospective case series were included, with 132 patients having PD combined with gastrectomy. PD was combined with total gastrectomy in 27 patients, and subtotal gastrectomy in 81 patients; 24 patients had undocumented gastric resection type. Clinical stage was available for 92 patients (4 stage I, 7 stage II, 26 stage III, and 55 stage IV). Five studies (98 patients having PD combined with gastrectomy) compared PD and gastrectomy to gastrectomy alone. In the four studies reporting morbidity, PD had a higher morbidity. The pooled pancreatic anastomotic leak rate was 24.5% for the seven studies in which complications were reported; however, there were no peri-operative deaths. 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