Research Article

Conversion Surgery for Patients with Advanced Gastric Cancer with Peritoneal Carcinomatosis

Table 1

Clinical characteristics of the patients.

VariableNIPSCRS + HIPECC/TPalliative
(n = 34)(n = 15)(n = 23)(n = 23)

Age (y/o)65.3 (6.02)66.07 (10.19)65.91 (11.11)67.43 (9.05)0.850
Sex (male)17 (51.52%)8 (57.14%)16 (69.57%)15 (65.22%)0.536
ComorbidityHTN7 (21.21%)6 (42.86%)10 (43.48%)12 (52.17%)0.095
CAD3 (9.09%)3 (21.43%)5 (21.74%)8 (34.78%)0.132
Diabetes1 (3.03%)3 (21.43%)6 (26.09%)5 (21.74%)
CVA1 (3.03%)1 (7.14%)2 (8.7%)1 (4.35%)0.751
ESRD0 (0%)0 (0%)1 (4.35%)3 (13.04%)0.077
Pulmonary2 (6.06%)1 (7.14%)2 (8.7%)1 (4.35%)0.999
(PS) ECOG0 (%)10 (30.3%)4 (28.57%)11 (47.83%)10 (43.48%)0.425
1∼2 (%)21 (63.64%)9 (64.29%)12 (52.17%)10 (43.48%)
>3 (%)2 (6.06%)1 (7.14%)0 (0%)3 (13.04%)
VAS1.48 ± 0.971.21 ± 0.431.7 ± 1.112.09 ± 1.38
TNM stageT2 (%)2 (6.06%)0 (0%)3 (13.04%)6 (26.09%)
T3 (%)9 (27.27%)1 (7.14%)12 (52.17%)10 (43.48%)
T4 (%)22 (66.67%)13 (92.86%)8 (34.78%)7 (30.43%)
N1 (%)3 (9.09%)1 (7.14%)6 (26.09%)7 (30.43%)
N2 (%)17 (51.52%)6 (42.86%)3 (13.04%)7 (30.43%)
N3 (%)7 (21.21%)7 (50%)11 (47.83%)9 (39.13%)
SymptomsAscites (%)20 (60.61%)2 (14.29%)6 (26.09%)6 (26.09%)
Epigastric pain (%)33 (100%)13 (92.86%)22 (95.65%)20 (86.96%)0.128
UGI bleeding (%)11 (33.33%)4 (28.57%)7 (30.43%)10 (43.48%)0.746
Gastric outlet obstruction (%)7 (21.21%)10 (71.43%)8 (34.78%)8 (34.78%)
BW loss (%)18 (54.55%)3 (21.43%)13 (56.52%)15 (65.22%)0.068
Laboratory testWBC (m/mm3)7080.91 ± 2516.557208.57 ± 3637.688513.48 ± 2849.059082.61 ± 4607.450.117
Hgb (g/dL)10.94 ± 2.8710.37 ± 2.6610.95 ± 2.7610.22 ± 2.740.728
Sodium (mEq/L)137.12 ± 3.62137.43 ± 3.11135.57 ± 3.92137.13 ± 2.440.260
Potassium (mmol/L)3.67 ± 0.423.94 ± 0.413.82 ± 0.453.87 ± 0.480.193
AST (U/L)19.42 ± 9.8621.64 ± 10.341.74 ± 75.9556.7 ± 94.080.154
Cr (mg/dL)0.75 ± 0.220.88 ± 0.181.07 ± 0.651.07 ± 0.64
Albumin (g/dL)3.38 ± 0.563.46 ± 0.363.24 ± 0.483.06 ± 0.640.083

HTN, hypertension; CAD, coronary artery disease; CVA, cerebrovascular accident; ESRD, end-stage renal disease; PS (ECOG): patient performance (Eastern Cooperative Oncology Group); VAS: visual analog scale; UGI bleeding: upper gastrointestinal bleeding; BW loss: bodyweight loss; WBC: white cell count; AST: aspartate transaminase; Cr: creatinine; NIPS: neoadjuvant intraperitoneal and systemic chemotherapy; CRS + HIPEC: cytoreductive surgery + hyperthermic intraperitoneal chemotherapy; C/T: chemotherapy; Hgb: hemoglobin; <0.05.