我们胃癌围手术期化疗的“神奇”结果。

Carlos León-Espinoza, Fernando López-Mozos, Roberto Marti-Obiol, Marina Garces-Albir, Joaquin Ortega-Serrano
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引用次数: 0

摘要

目的:通过确定患者的总生存期并将其与更大规模的研究进行比较,确定胃癌围手术期化疗的可重复性。方法:回顾性分析我们的系列研究,我们根据围手术期的三个术前化疗周期,然后是手术,最后是三个术后化疗周期来介绍我们11年的胃癌治疗经验。化疗方案为Xelox(奥沙利铂加卡培他滨)。对流行病学参数和手术变量进行分析、呈现,并与采用类似方法的其他系列进行比较。生存率采用Kaplan Meier/log rank法估计,并对这些研究进行比较。结果:平均年龄65岁。本系列患者的总生存率为37.7%,与采用围手术期方案的其他组相似。死亡率为4%,发病率为30%,这两组也相似。将生存曲线与更大规模的研究进行比较,发现它们之间存在相似之处。化疗反应者与无反应者的亚组生存分析差异无统计学意义。结论:围手术期化疗方案可在本院重现,效果良好,且不增加发病率和死亡率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

"Magic" of our gastric cancer results on perioperative chemotherapy.

"Magic" of our gastric cancer results on perioperative chemotherapy.

"Magic" of our gastric cancer results on perioperative chemotherapy.

"Magic" of our gastric cancer results on perioperative chemotherapy.

Aim: To determine reproducibility of perioperative chemotherapy for gastric cancer (GC) on our settings by identifying patient's overall survival and comparing them to larger studies.

Methods: Retrospective analysis of our series, where we present our eleven-year's experience on GC managed according to perioperative approach of three preoperative chemotherapy cycles followed by surgery and finally three postoperative chemotherapy cycles. Chemotherapic scheme used was Xelox (Oxaliplatin and Capecitabine). Epidemiologic parameters as well as surgical variables were analysed, presented, and compared to other series with similar approaches. Survival was estimated by Kaplan Meier/log rank method and also compared to these studies.

Results: Mean age was 65 years old. Overall survival in our series was 37.7%, similar to other groups using perioperative schemes. Mortality was 4% and morbidity 30%, which are also similar to those groups. Survival curves were compared to larger studies, finding similarities on them. Subgroup survival analysis between chemotherapy responders and non-responders didn't reach statically significant differences.

Conclusion: Perioperative chemotherapic scheme can be reproduced on our setting with good results and without increasing morbidity or mortality.

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