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Surgical outcome after docetaxel-based neoadjuvant chemotherapy in locally-advanced gastric cancer

World Journal of Gastroenterology 2010年第7期16卷 868-874页

作者： Roberto Biffi Nicola Fazio Fabrizio Luca Antonio Chiappa bruno andreoni Maria Giulia Zampino Arnaud Roth Jan Christian Schuller Giancarla Fiori Franco Orsi Guido Bonomo Cristiano Crosta Olivier Huber Division of Abdomino-pelvic Surgery European Institute of Oncology20141 MilanItaly Division of Medical Oncology European Institute of Oncology20141 MilanItaly Division of General and Laparoscopic Surgery European Institute of Oncology20141 MilanItaly Department of Oncosurgery Geneva University Hospitals1211 GenevaSwitzerland Statistics Unit SAKK(Swiss Group for Clinical Cancer Research)3000 BernSwitzerland Division of Endoscopy European Institute of Oncology20141 MilanItaly Interventional Radiology Unit European Institute of Oncology20141 MilanItaly Department of Surgery Geneva University Hospitals1211 GenevaSwitzerland

AIM:To investigate feasibility,morbidity and surgical mortality of a docetaxel-based chemotherapy regimen randomly administered before or after gastrectomy in patients suffering from locally-advanced resectable gastric ***:Patients suffering from locally-advanced(T3-4 any N M0 or any T N1-3 M0)gastric carcinoma,staged with endoscopic ultrasound,bone scan,computed tomography,and laparoscopy,were assigned to receive four 21 d/cycles of TCF(docetaxel 75 mg/m 2 day 1,cisplatin 75 mg/m 2 day 1,and fluorouracil 300 mg/m 2 per day for days 1-14),either before(Arm A)or after(Arm B)*** morbidity,overall mortality,and severe adverse events were compared by intention-to-treat ***:From November 1999 to November 2005,70 patients were *** preoperative TCF(Arm A),thirty-two(94%)resections were performed,85% of which were *** response was complete in 4 patients(11.7%),and partial in 18(55%).No surgical mortality and 28.5%morbidity rate were observed,similar to those of immediate surgery arm(P= 0.86).Serious chemotherapy adverse events tended to be more frequent in arm B(23%vs 11%,P=0.07),with a single death per ***:Surgery following docetaxel-based chemotherapy was safe and with similar morbidity to immediate surgery in patients with locally-advanced resectable gastric carcinoma.

关键词： Gastric cancer Docetaxel Neoadjuvant chemotherapy Laparoscopy Endoscopic ultrasonography Morbidity

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