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- W2023207977 abstract "<h3>Objective:</h3> To define by actual standards the results of treatment of free perforation of gastric carcinoma in a consecutive number of patients treated at one institution. <h3>Design:</h3> Case series of patients with perforated adenocarcinoma of the stomach treated in Hong Kong between 1984 and 1992. <h3>Setting:</h3> Urban academic medical center. <h3>Patients:</h3> Thirty-four Chinese patients who were operated on for perforated gastric carcinoma. A risk scoring system was used to predict postoperative mortality. Factors with a possible influence on postoperative mortality and long-term survival were studied using univariate and multivariate analysis. <h3>Intervention:</h3> All patients underwent laparotomy, which was performed for closure of the perforation in four patients and for gastrectomy in 30. <h3>Main Outcome Measures:</h3> Thirty-day mortality and survival times. <h3>Results:</h3> The 30-day mortality rate was 20%, and the median survival time was 10 months (range, 2 to 92 months). The risk score was the only significant predictor of 30-day mortality, and the pathologic TNM staging, of long-term survival. <h3>Conclusions:</h3> A significant proportion of patients can be saved and offered good palliation with emergency gastrectomy; those likely to die can be identified before surgery. (Arch Surg. 1995;130:177-181)" @default.
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- W2023207977 date "1995-02-01" @default.
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- W2023207977 title "Free Perforation of Gastric Carcinoma" @default.
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- W2023207977 doi "https://doi.org/10.1001/archsurg.1995.01430020067011" @default.
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