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Title: Clinical value of stomach resection in the patients with distant metastasis


In the dissertation the author attempted to answer the questions whether nonradical resection in stomach cancer patients with metastasis influences survival and quality of life. The analysis was conducted in 1527 patients treated between1999-2005 in the multicenter clinical studies on gastric cancer. The patients were classified to three groups by the stage and grade of cancer: group A of patients without distant metastasis, who underwent stomach resection (n=889), B of patients with distant metastasis, qualified to stomach resection (n=162), C of patients, who were not qualified to stomach resection independently of the presence of distant metastasis (n=476). Median time of survival for the individual groups was 28.8 mo. for group A, 8.1 mo. for group B, and 4.1 mo. for group C (p=0.002). Cox analysis showed that stomach resection is an independent prognostic factor and increases death risk in the patients with metastasis (p<0.001). Surgical complications occurred in 14.6% patients in group A, 17.3% in group B, and 9% in group C. According to the QLQ-C30 questionnaire, life comfort in group B is similar as in group A. The results allow to conclude that nonradical stomach resection in the patients with metastasis prolongs survival and improves quality of life at the accepted number of the postoperative complications.

Level of degree:

2 - studia doktoranckie

Degree discipline:

chirurgia ; onkologia

Degree grantor:

Wydział Lekarski


Piotr Kołodziejczyk

Date issued:






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tylko w bibliotece

Location of original object:

Biblioteka Medyczna Uniwersytetu Jagiellońskiego - Collegium Medicum

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Last modified:

Oct 9, 2019

In our library since:

Nov 21, 2012

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Edition name Date
ZB-113525 Oct 9, 2019


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