Abstract
Although progress in systemic therapy has changed the surgical approach to advanced gastric carcinoma, allowing gastrectomy with or without metastasectomy in selected cases, the goal of therapy remains non-curative and directed towards symptom control for most patients. This chapter focuses on quality of life and the treatment of complications in advanced gastric carcinoma. The role of palliative surgery in the management of bleeding, obstruction, and perforation is discussed and weighed against nonsurgical alternatives such as endoscopy, radiotherapy, and interventional radiology. Sections on peritoneal carcinosis and chemotherapy-refractory ascites are also included.
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Notes
- 1.
The peritoneal cancer index divides the abdomen into 13 regions. A lesion size score of 0–3 is assigned to each region, resulting in a maximum overall score of 39.
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© 2014 Springer-Verlag Berlin Heidelberg
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Albertsmeier, M., Jauch, KW., Angele, M.K. (2014). Stomach. In: Wichmann, M., Maddern, G. (eds) Palliative Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-53709-7_11
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DOI: https://doi.org/10.1007/978-3-642-53709-7_11
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