Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Gastric Cancer
Published in: Gastric Cancer 3/2014

01-07-2014 | Original Article

The best surgical approach for perforated gastric cancer: one-stage vs. two-stage gastrectomy

Authors: Tatsuo Hata, Naoaki Sakata, Katsuyoshi Kudoh, Chikashi Shibata, Michiaki Unno

Published in: Gastric Cancer | Issue 3/2014

Login to get access

Abstract

Background

Surgery for perforated gastric cancer has a dual purpose: treating life-threatening peritonitis and curing gastric cancer. An emergent one-stage gastrectomy may place an undue burden on patients with a poor general status and could impair long-term survival even if the gastric malignancy is curable. A two-stage gastrectomy, in which the initial treatment of peritonitis is followed by elective gastrectomy, can accomplish both desired purposes.

Methods

We retrospectively analyzed 514 Japanese cases of perforated gastric cancer. 376 patients underwent a one-stage gastrectomy and 54 patients underwent a two-stage gastrectomy. We evaluated patient characteristics, surgical outcomes, postoperative complications, and survival rates in both groups.

Results

The two-stage gastrectomy group saw a 78.4 % rate of curative R0 resection and 1.9 % hospital mortality rate, while corresponding rates in the one-stage gastrectomy group were 50 and 11.4 %, respectively. Among cases in which curative R0 resection was performed, there was no significant difference in overall survival between 136 one-stage gastrostomies and 40 two-stage gastrostomies. In a multivariate analysis, curative R0 resection [hazard ratio (HR) 2.937, p = 0.001] and depth of tumor invasion (HR 1.179, p = 0.016) were identified as independent prognostic factors.

Conclusions

Regardless of whether patients underwent a one-stage or two-stage gastrectomy, curative R0 resection improved survival in patients with perforated gastric cancer. When curative R0 resection cannot be performed in the initial treatment phase due to diffuse peritonitis, non-curative and palliative gastrectomy should be avoided, and a two-stage gastrectomy should be planned following peritonitis recovery and detailed examinations.
Literature
1.
Martin RF, Rossi RL. The acute abdomen. An overview and algorithms. Surg Clin North Am. 1997;77:1227–43.PubMedCrossRef
2.
Tsujimoto H, Hiraki S, Sakamoto N, Yaguchi Y, Horio T, Kumano I, et al. Outcome after emergency surgery in patients with a free perforation caused by gastric cancer. Exp Ther Med. 2010;1:199–203.PubMedCentralPubMed
3.
Roviello F, Rossi S, Marrelli D, De Manzoni G, Pedrazzani C, Morgagni P, et al. Perforated gastric carcinoma: a report of 10 cases and review of the literature. World J Surg Oncol. 2006;4:19.PubMedCentralPubMedCrossRef
4.
Gertsch P, Yip SK, Chow LW, Lauder IJ. Free perforation of gastric carcinoma. Results of surgical treatment. Arch Surg. 1995;130:177–81.PubMedCrossRef
5.
Lehnert T, Buhl K, Dueck M, Hinz U, Herfarth C. Two-stage radical gastrectomy for perforated gastric cancer. Eur J Surg Oncol. 2000;26:780–4.PubMedCrossRef
6.
Mahar AL, Brar SS, Coburn NG, Law C, Helyer LK. Surgical management of gastric perforation in the setting of gastric cancer. Gastric Cancer. 2012;15(Suppl 1):S146–52.PubMedCrossRef
7.
Ozmen MM, Zulfikaroglu B, Kece C, Aslar AK, Ozalp N, Koc M. Factors influencing mortality in spontaneous gastric tumour perforations. J Int Med Res. 2002;30:180–4.PubMedCrossRef
8.
Asanuma E, Nomura H, Higashi G, Yamamoto S, Nishi M. A study on the cases with perforation of gastric cancer -with special reference to studies on 6 cases from our clinic and 128 cases reported in japan. Med J Kagoshima Univ. 1979;31:165–73 (in Japanese).
9.
Takei N, Ishimoto K, Kono N, Katsumi M, Yamaguchi T, Ura S. Perforated gastric carcinoma—report of 4 cases and review of the literature. J Wakayama Med Soc. 1980;31:269–76 (in Japanese).
10.
Maeda M, Shimazu H, Kobori O, Furuta Y, Danno M, Furuyama Y, et al. Perforated gastric cancer: report of six cases and review of the Japanese literature. J Jpn Soc Clin Surg. 1981;42:647–54 (in Japanese).
11.
Itano S, Onishi N, Kobuchi K, Onishi T, Gochi A, Gotoh K, et al. The relationship between the complications and early gastric cancers. J Med Mie Univ. 1981;25:53–7 (in Japanese).
12.
Tamakuma S. Treatment of peritonitis due to the perforation of gastric cancer. Gastroenterol Surg. 1981;4:1527–32 (in Japanese).
13.
Kida K, Kohno K, Soeno T, Kato E, Takahashi T. Report of a case of perforated gastric cancer in Borrmann IV. Akita J Med. 1981;7:293–5 (in Japanese).
14.
Hashimoto K, Fukushima H, Kitasato S, Hirai Y, horiuchi M, Takeda J, et al. Study on perforated cases of gastric cancer. J Kurume Med Assoc. 1982;45:1323–8 (in Japanese).
15.
Takagi A, Sakiyama T, Nagai H. A study on the mariner cases with gastroduodenal perforation who underwent palliative operation in foreign countries. Jpn J Marit Med. 1983;20:55–60 (in Japanese).
16.
Toda K, Hirose S, Kataoka K, Kitamura M, Tsutsui M, Kimura H, et al. Clinical studies on operative cases of perforated gastric cancer. Jpn J Gastroenterol Surg. 1983;16:1645–9 (in Japanese).CrossRef
17.
Ikebuchi M, Satani M, Ono N, Morita M, Matsuo Y, Tatsumi Y, et al. Perforation of gastric cancer. Med J Osaka Pref Genl Hosp. 1983;6:26–30 (in Japanese).
18.
Kawada Y, Shimizu K, Shoji T. Gastric perforation due to gastric cancer. J Jpn Soc Clin Surg. 1983;44:403–7 (in Japanese).
19.
Kurosu Y, Fukamachi S, Mizuno T, Morita K. Perforated gastric cancer. J Nihon Univ Med Ass. 1984;43:963–6 (in Japanese).
20.
Nagino M, Takayanagi K, Horisawa M, Kondo S, Mori K, Tanno T. A case of perforation of early gastric cancer. J Jpn Soc Clin Surg. 1984;45:1308–12 (in Japanese).
21.
Kanai M, Shichino S, Satoh T, Akita Y, Katoh T, Katayama M, et al. A study on perforated gastric cancer. J Yachiyo Hosp. 1984;4:33–6 (in Japanese).
22.
Noguchi T, Saito A. Report of 2 cases of perforated gastric cancer and review of literature. Teishin Igaku. 1984;36:683–7 (in Japanese).
23.
Kawamura T, Konaga E, Enomoto M, Sasaki A, Yagi T, Hasuoka H, et al. A study on the cases with perforation of gastric cancer—with special reference to studies on 8 cases from our clinic and 116 cases reported in Japan. Jpn J Gastroenterol Surg. 1985;18:980–3 (in Japanese).CrossRef
24.
Muira T, Ishii T, Shimoyama T, Hirano T, Shimizu T, Fukuda A, et al. Surgical treatment for perforated gastric cancer. Surgery. 1985;47:1522–6 (in Japanese).
25.
Ishii K, Orihata H, Kuramitsu H, Suzuki T, Shiratori T, Miyazaki K, et al. A study on the problems for initial treatment of perforated gastric cancer. KANTO J Jpn Assoc Acute Med. 1985;6:134–5 (in Japanese).
26.
Ishibashi H, Miyata M. The surgical treatment of perforated gastric cancer. J Jpn Soc Clin Surg. 1985;46:226–32 (in Japanese).
27.
Sano C, Kumamoto M, Kubara K, Mori M. A case report of perforated gastric cancer diagnosed before operation. Matsuyama R C Hosp J Med. 1985;9:159–63 (in Japanese).
28.
Kitajima M, Torii H, Yoda I, Kiuchi R, Seki M, Miyake J, et al. Surgical treatment for the patients with bleeding and perforation of gastric cancer. J Clin Surg. 1985;40:343–8 (in Japanese).
29.
Mikami Y, Ozawa M, Sugiyama Y, Hada R, Nakachi H, Fukushima T, et al. A study of perforated cases of gastric carcinoma. Jpn J Gastroenterol Surg. 1986;19:2280–3 (in Japanese).CrossRef
30.
Nishi M, Yoshida K. Perforated gastric cancer. J Geriatric Pract. 1986;7:291–5 (in Japanese).
31.
Sato Y, Soeda O, Fukuda Y, Harada D, Miyashita M, Yamauchi H, et al. The clinical study according to perforation of the gastric cancer. Surg Diag Treat. 1986;28:1171–4 (in Japanese).
32.
Shibata N, Noguchi S, Tamura S, Fujimoto N, Aikawa T, Kagotani K, et al. Prognosis and treatment for perforation of early gastric carcinoma. Gastroenterol Surg. 1986;9:1163–6 (in Japanese).
33.
Kawano M, Miura K, Hiraide H, Kanabe S, Mochizuki H, Tamaki K, et al. Study of perforated gastrointestinal malignancy. J Jpn Soc Clin Surg. 1986;47:491–4 (in Japanese).
34.
Yoshioka K. Clinicopathological study of perforated gastric cancer. Kawasaki Med J. 1986;12:152–66 (in Japanese).
35.
Marubayashi S, Oshiro H, Yamamoto Y, Takana I, Nomura S, Kimura A, et al. A study on gastroduodenal perforations. J Hiroshima Med Assoc. 1987;40:1070–4 (in Japanese).
36.
Osawa J, Higashide S, Tamagawa M, Yatagai T, Oguchi M, Shinoda M, et al. Clinical and pathological features of perforated gastric carcinomas. Jpn J Gastroenterol Surg. 1987;20:1676–81 (in Japanese).CrossRef
37.
Ugai S, Nishijima H, Nishii H, Ogasawara K, Kondoh T, Aoki Y. Five cases of perforated gastric cancer. J Takamatu City Hosp. 1987;3:93–7 (in Japanese).
38.
Mayumi T, Hachisuka K, Yamaguchi A, Isogai M, Ishibashi H, Kato J, et al. A case of early gastric cancer with perforation showing various macroscopic findings. Jpn J Cancer Clin. 1987;33:411–6 (in Japanese).
39.
Hirayama R, Nihei Y, Hamada S, Iishi H, Mishima Y. The surgical therapy for perforated gastric cancer. J Clin Surg. 1987;42:325–9 (in Japanese).
40.
Ishibashi T, Takeyoshi I, Shirakura T. Three cases of perforated gastric cancer: with special reference to perforation of early gastric cancer. Gastroenterol Surg. 1987;10:373–7 (in Japanese).
41.
Sato H, Tanaka T, Yatsuhashi T, Hirokawa A, Yamagata M, Ootsuka Y, et al. A case of perforated gastric cancer combined with leiomyoma. J Nihon Univ Med Assoc. 1988;47:973–6 (in Japanese).
42.
Itoh S, Ohe H, Tokuyama N, Soeda O, Okada D, Lin S, et al. A study of gastric ulcer and cancer perforation. J Jpn Soc Clin Surg. 1988;49:844–7 (in Japanese).
43.
Hiromoto M, Kusakabe T, Tsushima H, Kaetsu T, Maeda T. A case of scirrhous carcinoma of the stomach with perforation. KANTO J Jpn Assoc Acute Med. 1989;10:664–6 (in Japanese).
44.
Nagashima M, Kurihara S, Takaoka A, Kohda H, Kawase H, Satomi A, et al. Two cases of perforated gastric cancer. KANTO J Jpn Assoc Acute Med. 1989;10:668–9 (in Japanese).
45.
Nakazaki T, Hashimoto Y, Ifuku M, Kubota F, Minami H, Takada T, et al. Clinical studies on the cases of perforated gastric cancer. J Jpn Soc Clin Surg. 1989;50:949–53 (in Japanese).
46.
Yara T, Harakuni M, Ajitomi S. A case of perforated gastric carcinoma in Bormann II with 5-year survival after the operation. Okinawa Med J. 1986;26:33–5 (in Japanese).
47.
Kyono S, Onda M, Yoshida M, Yamashita K, Moriyama Y, Tanaka N, et al. Emergency operation for patients with peritonitis due to perforated gastric cancer for recent IZ years. Prog Acute Abdom Med. 1990;10:263–7 (in Japanese).
48.
Anzai H, Yamazaki T, Koyama I, Sukigara M, Omoto R. A study of perforated gastric cancer. Prog Acute Abdom Med. 1990;10:259–62 (in Japanese).
49.
Sekihara T, Nabeya K, Hanaoka T, Fujii M, Koido S. Three cases of perforation in gastric cancer. Prog Acute Abdom Med. 1990;10:169–71 (in Japanese).
50.
Ogino Y, Tomita T, Ishikawa K, Tajima M, Kaneko M, Kadowaki A, et al. A clinical study of emergency operation for the patients with perforation and bleeding of the gastric cancer. Prog Acute Abdom Med. 1991;11:913–5 (in Japanese).
51.
Nakai H, Harafuji I, Orita Y, Shima Y, Watanabe N, Ishii T, et al. A case of perforated gastric cancer which could be diagnosed preoperatively because of intra-abdominal abscess formation. J Hiroshima Med Assoc. 1991;44:1507–9 (in Japanese).
52.
Akiyama N, Kobayashi C, Haga N, Yanagita Y, Kurihara T, Ishizaki M, et al. Clinical study on the five cases of perforated gastric cancer compared with recent 72 case reports in Japan. Kitakanto Med J. 1991;41:345–51 (in Japanese).CrossRef
53.
Kishikawa H, Nishiwaki N, Ito K, Naruse H, Tanaka H, Honda K. A study of perforated gastric cancer. Proc Nagoya City Hosp. 1991;14:35–8 (in Japanese).
54.
Sasabe H, Onda M, Yamashita K, Moriyama Y, Tanaka N, Egami K, et al. A case of perforated gastric cancer with 90-year-old patient. KANTO J Jpn Assoc Acute Med. 1991;12:434–5 (in Japanese).
55.
Kido K, Kumashiro R, Naitoh H, Yamasaki S, Tanaka K, Ikenaga H, et al. Clinical study of perforated gastric carcinoma. Med Bull Fukuoka Univ. 1991;18:265–70 (in Japanese).
56.
Nishimura H, Hara K, Hikita H, Senga O, Miyagawa M, Tsuchiya S. A case of scirrhous carcinoma of the stomach with perforation. Gastroenterol Surg. 1991;14:1549–53 (in Japanese).
57.
Nakagoe T, Ino M, Hashiguchi K, Tsuchida R, Matsunaga K, Tomita M. Early gastric cancer associated with perforative peritonitis: two case reports and review of literature. Gastroenterol Surg. 1991;14:233–8 (in Japanese).
58.
Mori N, Hachisuka K, Yamaguchi A, Isogai M, Kuze S, Mayumi T, et al. Clinicopathologic studies of perforated gastric cancer. Prog Acute Abdom Med. 1991;11:483–7 (in Japanese).
59.
Kondoh Y, Ogoshi K, Miyaji M, Iwata K, Hara S, Tajima T, et al. The treatment of perforated gastric cancer. Prog Acute Abdom Med. 1991;11:917–20 (in Japanese).
60.
Kishikawa H, Nishiwaki N, Ito K, Naruse H, Tanaka H, Honda K. Perforated gastric cancer associated with the delivery which is misdiagnosed as abruption of placenta. J Jpn Soc Clin Surg. 1992;53:2986–9 (in Japanese).
61.
Mukai M, Kondou Y, Ogoshi K, Noto T, Makuuchi H, Tajima T, et al. A case of perforated early gastric cancer and a review of 45 cases collected from the Japanese literature. J Jpn Soc Clin Surg. 1992;53:1869–73 (in Japanese).
62.
Tanabe H, Watanabe S, Hashimoto T, Imai N, Kano N, Shimokawa K. A case of scirrhous carcinoma of the stomach with perforation. Surgery. 1992;54:1009–11 (in Japanese).
63.
Isozaki H, Okajima K, Yamada S. Gastric cancer with perforative peritonitis. Operation. 1992;46:129–35 (in Japanese).
64.
Kano N, Miyamoto K, Yamada N, Futamura N, Maeda H, Komura Y, et al. Clinical studies on ruptured abdominal organs caused by malignant tumors with emphasis on its treatment and prognosis. Prog Acute Abdom Med. 1992;12:107–10 (in Japanese).
65.
Deguchi H, Ozawa T, Kitahara S, Takatsuka J, Kaneko H, Tsugu Y, Nonaka H. Four cases of perforation with gastric cancer. J Med Soc Toho. 1992;38:845–51 (in Japanese).
66.
Tomoda N, Uchino Y, Ikeda H, Shima H, Hara M, Ohasi M, et al. A study on operated cases of perforated gastric cancer. J Jpn Soc Clin Surg. 1993;54:3071–6 (in Japanese).
67.
Kanamaru T, Saitou Y, Ota K, Hashimoto Y, Matsui S, Fukuda H, et al. Perforated gastric cancer—a clinicopathological study of eight cases. Jpn J Gastroenterol Surg. 1993;26:1261–5 (in Japanese).CrossRef
68.
Tanabe H, Watanabe S, Hashimoto T, Imai N. Perforated gastric cancer; a report of 5 cases. Jpn J Cancer Clin. 1993;39:663–7 (in Japanese).
69.
Kasakura Y, Murayama I, Yamagata M, Fujii M, Ohtsuki J, Ishii F, et al. A clinicopathological analysis of the cases with perforated gastric cancer. Surgery. 1993;55:561–4 (in Japanese).
70.
Takehana T, Imada T, Abe M, Chen C, Takahashi M, Tokunaga M, et al. Clinical pathology and treatment of perforation in gastric cancer. Jpn J Cancer Clin. 1994;40:1647–52 (in Japanese).
71.
Yasuda H, Yamada N, Onitsuka A. A case of perforated gastric carcinoma which made a cavity between the liver and stomach without signs of peritonitis or abdominal abscess. J Jpn Soc Clin Surg. 1994;55:409–12 (in Japanese).
72.
Kuzu H, Suzuki A, Fuse A, Kameyama J, Tsukamoto M. A case of unique perforation in gastric cancer. J Abdom Emerg Med. 1994;14:935–8 (in Japanese).
73.
Iwai K, Katoh H, Hishiyama H, Ikeda J, Nakamura Y, Shibano N. Perforated gastric cancer. Surgery. 1995;57:983–5 (in Japanese).
74.
Shomura Y, Murabayashi K, Hayashi M, Nakano H, Uehara S, Kusuda T, et al. A resected case of juvenile gastric cancer causing perforation during the course of the observation of pregnancy and an ovarian tumor. J Jpn Soc Clin Surg. 1995;56:741–5 (in Japanese).
75.
Adachi Y, Takahashi I, Okudera Y, Kusaba I, Okita K, Nozue T, et al. Seventy months survival after operation for perforated gastric carcinoma. Surg Ther. 1996;75:613–6 (in Japanese).
76.
Kitakado Y, Tanigawa N, Muraoka R. A case report of perforated early gastric cancer. Arch Jpn Chir. 1997;66:86–90 (in Japanese).
77.
Hasegawa M, Wada N, Naka S, Inoue T, Ishida Y, Sugano I, et al. Clinical study of seven cases of perforated gastric cancer. Jpn J Cancer Clin. 1998;44:1083–8 (in Japanese).
78.
Edazawa H, Yoshida H, Yanou K, Kamada T. Four cases of perforated gastric cancer. J Med Assoc South Hokkaido. 1998;33:245–7 (in Japanese).
79.
Chiba T, Miura K, Sawa N, Okamoto M, Takahashi H, Konno F, et al. A study on the cases with perforation of gastric cancer. Med J Hachinohe City Hosp. 1998;18:97–100 (in Japanese).
80.
Fukuchi M, Takenoshita S, Kojima T, Koitabashi H, Tsukada K. Four cases of perforated gastric cancer. J Abdom Emerg Med. 1998;18:435–8 (in Japanese).
81.
Mori K, Kawahara F, Nakai M, Shima Y, Takeyama S. A case of scirrhous carcinoma of the stomach with perforation. Gastroenterol Endosc. 1999;41:2224–8 (in Japanese).
82.
Numata N, Nagahata Y, Nagata H, Ogino K. Elective radical operation after conservative treatment for gastric perforation in a patient with early gastric cancer. J Jpn Surg Assoc. 1999;60:1000–4 (in Japanese).CrossRef
83.
Mokuno Y, Chigira H, Katoh T, Yoshida K, Kamiya S, Maeda M. A study on nine cases of perforated gastric cancer. Surgery. 1999;61:561–4 (in Japanese).
84.
Ogawa T, Murabayashi K, Nakano H, Uehara S, Kusuda T, Takahashi K, et al. Report of two cases with perforation of early gastric cancer—a study on 12 perforated cases of gastric cancer including advanced stage. Jpn J Cancer Clin. 1999;45:243–6 (in Japanese).
85.
Funai K, Kanamaru H, Yokoyama H, Shirakawa M, Hashimoto H, Yoshino G. Gastric perforation in early gastric cancer—a case report. J Jpn Surg Assoc. 2000;61:954–7 (in Japanese).CrossRef
86.
Hanatani Y, Gibo J, Nakatsu M, Toeda H, Ikeda Y, Niimi Y, et al. Diagnosis and surgical treatment of 8 patients with perforated gastric cancer. J Abdom Emerg Med. 2000;20:1023–8 (in Japanese).
87.
Oshita H, Tanemura H, Kanno A, Kusakabe M, Tonomura S, Hosono Y, et al. Evaluation of eight cases of perforated gastric carcinoma. Surgery. 2001;63:602–5 (in Japanese).
88.
Hashimoto M, Akita Y, Kitagawa Y, Ito N, Sasaki E, Akutagawa A, et al. A case of rupture and double perforations of gastric cancer. J Jpn Surg Assoc. 2001;62:670–3 (in Japanese).CrossRef
89.
Ugajin W, Masuda H, Nakayama H, Aoki N, Koide H, Nakamura Y, et al. A study of perforation of gastric cancer. J Nippon Med Sch. 2001;60:24–8 (in Japanese).
90.
Yabusaki H, Nashimoto A. Perforated gastric cancer. Operation. 2002;56:1917–24 (in Japanese).
91.
Yoshizaki K, Nagashima T, Mizukami Y, Ikuta K, Hiramatsu K, Hasegawa M. A case report of perforation of early gastric cancer. Surgery. 2003;65:1721–4 (in Japanese).
92.
Kuratate S, Yogita S, Yada S, Miyauchi T, Kaneda Y, Yamaguchi T. A case of 6-year postoperative survival after perforated advanced gastric cancer. J Clin Surg. 2003;58:1565–8 (in Japanese).
93.
Hiromatsu T, Kobayashi K, Ota S. Four cases of perforated gastric cancer. J Abdom Emerg Med. 2003;23:805–9 (in Japanese).
94.
Murakami N, Kitagawa S, Adachi I, Morita K, Iino K, Yamada T. A case of scirrhous carcinoma with perforation enforced curative operation. J Clin Surg. 2003;58:1125–8 (in Japanese).
95.
Sato T, Yamaguchi T, Ohta K, Ohyama S, Ueno M, Nagano H, et al. A successfully saved case of stage IV gastric cancer with perforation due to effectiveness of neutrophil elastase inhibitor. Prog Med. 2003;23:457–8 (in Japanese).
96.
Taniguchi K, Suenaga H, Kiriyama K, Wada M, Hirai A. A case report of calcified gastric cancer presented with perforation. J Jpn Surg Assoc. 2003;64:1900–2 (in Japanese).CrossRef
97.
Yagihashi N, Ito H, Osawa T, Taniguchi S. Report of four cases of perforated gastric cancer. Med J Kuroishi City Hosp. 2004;10:15–8 (in Japanese).
98.
Matsuyama R, Sato Y, Misuta K, Hasegawa S, Hasegawa S, Mori R, et al. A case of Borrmann type 4 cancer of the stomach with perforation. J Abdom Emerg Med. 2004;24:927–31 (in Japanese).
99.
Okinaga K, Shiratori M, Fukushima R, Inaba T. Treatment for perforated gastric cancer. Clin Gastroenterol. 2004;19:953–8 (in Japanese).
100.
Ninomiya S, Yoshida T, Morii Y, Matsuyama T. A case of elective gastrectomy and lymph node dissection for perforated gastric cancer. Surgery. 2004;66:461–3 (in Japanese).
101.
Fukuda N, Wada J, Takahashi S, Takahashi K, Miura Y. Perforated gastric carcinoma treated with laparoscopic omental patch repair followed by open radical surgery—report of a case. J Jpn Surg Assoc. 2005;66:2431–5 (in Japanese).CrossRef
102.
Kawase H, Ebihara Y, Kitashiro S, Okushiba S, Kato H, Kondo S. A case of gastric perforation of early gastric cancer treated by two-step radical surgery after laparoscopic omentopexy. J Jpn Surg Assoc. 2005;66:2426–30 (in Japanese).CrossRef
103.
Urahashi T, Miura O, Kawano T, Toda T, Minamisono Y, Nagasaki S. A case of perforated superficial wide-spreading early gastric cancer with localized subphrenic abscess. Surgery. 2005;67:974–7 (in Japanese).
104.
Kasama K, Kumamoto Y, Katayama K. Two cases of perforated gastric cancer which could be performed emergency operation after the diagnosis as perforative peritonitis at emergency department. KANTO J Jpn Assoc Acute Med. 2006;27:40–1 (in Japanese).
105.
Uemura S. Perforative early gastric cancer: a case report and review of the literature. J Abdom Emerg Med. 2006;26:859–62 (in Japanese).
106.
Tajima Y, Gonda T, Nagamine T, Yoshida H, Suto K, Ishida H. A case of gallbladder cancer with porcelain gallbladder which could be diagnosed after the perforation of gastric cancer. J Saitama M S. 2006;41:22–6 (in Japanese).
107.
Yagi Y, Kawai J, Takahashi K, Ichikawa K. A case of perforated gastric cancer treated by two-staged curative resection after laparoscopic omentopexy. Surgery. 2006;68:1089–92 (in Japanese).
108.
Waku T. Clinical review of four cases of perforative gastric cancer. J Abdom Emerg Med. 2006;26:73–6 (in Japanese).
109.
Kunieda K, Yahata K, Ota H, Ito M, Fukui T, Nagao I, et al. Study of cases of perforated gastric cancer. Ann Gifu Pref Gen Med Center. 2006;27:21–4 (in Japanese).
110.
Hirakawa K, Teramoto M, Iguchi C, Saito A, Kawabata K. A case of gastric carcinoma who present with acute abdomen due to the perforation of stomach. J Otokuni Med Assoc. 2006;15:43–5 (in Japanese).
111.
Kato T, Takaya K, Suzuki R, Sawada M, Kitamura M. Perforated gastric carcinoma: a case report and literature review. J Abdom Emerg Med. 2007;27:613–6 (in Japanese).
112.
Hayashi N, Hasuike Y, Fujiwara S, Fukuchi N, Tujie M, Yoshida T. A case of perforated gastric cancer treated with an emergency laparoscopic occlusion followed by radical resection. J Jpn Soc Endosc Surg. 2007;12:61–5 (in Japanese).
113.
Fujita T, Takano M, Matsuyama H, Suzuki T, Hatanaka M, Endo T, et al. A case of gastric cancer perforation during chemotherapy with TS-1. Jpn J Cancer Clin. 2007;53:457–62 (in Japanese).
114.
Ando H, Maeda S, Kameoka N, Tsuboi S. A case of perforated gastric cancer associated with pregnancy that was recognized at caesarean operation. J Abdom Emerg Med. 2007;27:777–9 (in Japanese).
115.
Yonezawa K, Shimomatsuya T. Perforated early gastric cancer in 89-year-old patient. J Abdom Emerg Med. 2007;27:963–7 (in Japanese).
116.
Sakai T, Yamada Y. A successfully treated case of type 4 cancer of the stomach with perforation and invasion to the transverse colon by primary resection of the stomach and the transverse colon. J Jpn Surg Assoc. 2008;69:360–4 (in Japanese).CrossRef
117.
Ito M, Tanakaya K, Takeuchi H, Kanazawa T. A case of perforated gastric carcinoma with was false negative by intraoperative histopathologic diagnosis. J Jpn Coll Surg. 2008;33:752–5 (in Japanese).
118.
Watanabe K, Kato T, Suzuki M, Shibata Y, Yoshihara M, Nagasawa K, et al. A strategy of treatment for perforated gastric cancer. J Jpn Surg Assoc. 2009;70:6–11 (in Japanese).CrossRef
119.
Yanagisawa S, Tsuchiya S, Kaiho T, Togawa A, Shinmura K, Okamoto R. An analysis of patients with perforated gastric cancer. J Jpn Surg Assoc. 2009;70:1271–5 (in Japanese).CrossRef
120.
Yamaguchi R, Inagawa S, Terashima H, Ishikawa A, Sasaki R, Ohkohchi N. A case of long-term survival after resection of a perforated gastric cancer with liver metastasis. J Jpn Surg Assoc. 2009;70:1376–82 (in Japanese).CrossRef
121.
Udaka T, Kobayashi N, Kudo M, Mizuta M, Shirakawa K. Clinical review of perforated gastric cancer. J Abdom Emerg Med. 2009;29:437–40 (in Japanese).
122.
Moriwaki Y, Toyoda H, Kosuge T, Sugiyama M. A senile case with gastric cancer perforation saved by emergency palliative resection who lived for 14 months after the surgery. Jpn J Gastroenterol Surg. 2009;42:25–30 (in Japanese).CrossRef
123.
Japanese Gastric Cancer A. Japanese classification of gastric carcinoma. 2nd English edition. Gastric Cancer. 1998;1:10–24.CrossRef
124.
Jwo SC, Chien RN, Chao TC, Chen HY, Lin CY. Clinicopathological features, surgical management, and disease outcome of perforated gastric cancer. J Surg Oncol. 2005;91:219–25.PubMedCrossRef
125.
Kasakura Y, Ajani JA, Fujii M, Mochizuki F, Takayama T. Management of perforated gastric carcinoma: a report of 16 cases and review of world literature. Am Surg. 2002;68:434–40.PubMed
126.
Shih CH, Yu MC, Chao TC, Huang TL, Jan YY, Chen MF. Outcome of perforated gastric cancer: twenty years experience of one institute. Hepatogastroenterology. 2010;57:1320–4.PubMed
127.
Kasakura Y, Ajani JA, Mochizuki F, Morishita Y, Fujii M, Takayama T. Outcomes after emergency surgery for gastric perforation or severe bleeding in patients with gastric cancer. J Surg Oncol. 2002;80:181–5.PubMedCrossRef
128.
Lunevicius R, Morkevicius M. Systematic review comparing laparoscopic and open repair for perforated peptic ulcer. Br J Surg. 2005;92:1195–207.PubMedCrossRef
129.
Bertleff MJ, Halm JA, Bemelman WA, van der Ham AC, van der Harst E, Oei HI, et al. Randomized clinical trial of laparoscopic versus open repair of the perforated peptic ulcer: the LAMA Trial. World J Surg. 2009;33:1368–73.PubMedCentralPubMedCrossRef
Metadata
Title
The best surgical approach for perforated gastric cancer: one-stage vs. two-stage gastrectomy
Authors
Tatsuo Hata
Naoaki Sakata
Katsuyoshi Kudoh
Chikashi Shibata
Michiaki Unno
Publication date
01-07-2014
Publisher
Springer Japan
Published in
Gastric Cancer / Issue 3/2014
Print ISSN: 1436-3291
Electronic ISSN: 1436-3305
DOI
https://doi.org/10.1007/s10120-013-0308-0

Other articles of this Issue 3/2014

Gastric Cancer 3/2014 Go to the issue

Original Article

The forkhead transcription factor FOXO1 mediates cisplatin resistance in gastric cancer cells by activating phosphoinositide 3-kinase/Akt pathway

Original Article

Prognostic implications of EGFR and HER-2 alteration assessed by immunohistochemistry and silver in situ hybridization in gastric cancer patients following curative resection

Original Article

Feasibility study of alternate-day S-1 as adjuvant chemotherapy for gastric cancer: a randomized controlled trial

Original Article

Postoperative pancreatic fistula formation according to ISGPF criteria after D2 gastrectomy in Western patients

Technical note

Non-exposed endoscopic wall-inversion surgery as a novel partial gastrectomy technique

Original Article

Potentially fatal complications for elderly patients after laparoscopy-assisted distal gastrectomy
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits