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Chinese Journal of Operative Procedures of General Surgery(Electronic Edition) ›› 2024, Vol. 18 ›› Issue (02): 225-228. doi: 10.3877/cma.j.issn.1674-3946.2024.02.028

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Related factors and treatment progress of postoperative peritoneal metastasis in elderly patients with advanced gastric cancer

Jing Chen1,(), Xiaoling Wang1, Kang An1   

  1. 1. Geriatrics Center/Division of Cadre Medicine, West China Hospital, Sichuan University, Chengdu Sichuan Province 610041, China
  • Received:2023-10-31 Online:2024-04-26 Published:2024-02-07
  • Contact: Jing Chen

Abstract:

Gastric cancer is a common malignant tumor of digestive tract. For advanced gastric cancer in the elderly, radical surgery is often used in clinical treatment. Some patients have peritoneal metastasis after surgery, leading to refractory cancerous ascites, intestinal obstruction and general weakness. There are many pathogenic factors for postoperative peritoneal metastasis in elderly advanced gastric cancer, including tumor diameter, tumor stage, lymph node metastasis, etc. In addition, preoperative chemotherapy, intraoperative lymph node dissection and postoperative chemotherapy have been confirmed to be related factors for postoperative peritoneal metastasis in elderly advanced gastric cancer. Accurate and effective treatment can improve the survival rate and quality of life of elderly patients with postoperative peritoneal metastasis of advanced gastric cancer. This study reviewed the domestic and international factors related to postoperative peritoneal metastasis in elderly advanced gastric cancer, and summarized the progress in the treatment of postoperative peritoneal metastasis in elderly advanced gastric cancer, so as to provide reference for the treatment of postoperative peritoneal metastasis in elderly advanced gastric cancer.

Key words: Stomach Neoplasms, Aged, Peritoneal Netastasis, Root Cause Analysis

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