[Surgical treatment of hepatic metastatic tumor from gastric cancer].

Objective: To assess the long- term efficacy of surgical treatment of hepatic metastases from gastric adenocarcinoma.

Methods: Clinical data of 938 cases with primary gastric cancer from January 1993 to October 2001 were analyzed retrospectively. Thirty- two cases received resection of hepatic metastases from gastric adenocarcinoma.

Results: Metachronous hepatic metastasis occurred in 24 cases(2.6% ),and 14 cases(58.3% ) underwent resection of hepatic metastases, while synchronous hepatic metastasis occurred in 90 cases(9.6% ) and 18 cases(20% ) underwent resection of hepatic metastases. The 1- 3- 5- year survival rates of hepatic resection for metachronous hepatic metastases were 73% 37% 25% respectively; while for synchronous hepatic metastases 68% 24% and 17% respectively. There were no significant differences between the two groups (P> 0.05).

Conclusion: Synchronous and metachronous hepatic metastases from gastric cancer should be treated by surgical resection to confirm a better prognosis.