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IMPACT OF AGING IN THE SURGICAL OUTCOMES OF GASTRIC CANCER PATIENTS

DIAS,Andre Roncon; PEREIRA,Marina Alessandra; RAMOS,Marcus Fernando Kodama Pertille; RIBEIRO JR,Ulysses; ZILBERSTEIN,Bruno; CECCONELLO,Ivan

ABSTRACT BACKGROUND: As age advances, a higher burden of comorbidities and less functional reserve are expected, however, the impact of aging in the surgical outcomes of gastric cancer (GC) patients is unknown. OBJECTIVE: The aim of this study is to evaluate surgical outcomes of GC patients according to their age group. METHODS: Patients submitted to gastrectomy with curative intent due to gastric adenocarcinom...

Date: 2021   |   Origin: Oasisbr

RECURRENCE IN PN0 GASTRIC CANCER: RISK FACTORS IN THE OCCIDENT

NOBRE,Karolyne Ernesto Luiz; PEREIRA,Marina Alessandra; RAMOS,Marcus Fernando Kodama Pertille; RIBEIRO,Ulysses; ZILBERSTEIN,Bruno; CECCONELLO,Ivan

ABSTRACT Background: Nearly 10% of node negative gastric cancer patients who underwent curative surgery have disease recurrence. Western data is extremely poor on this matter and identifying the risk factors that associate with relapse may allow new strategies to improve survival. Aim: Verify the clinical and pathological characteristics that correlate with recurrence in node negative gastric cancer. Methods: A...

Date: 2021   |   Origin: Oasisbr

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 2): UPDATE ON TREATMENT

BARCHI,Leandro Cardoso; RAMOS,Marcus Fernando Kodama Pertille; DIAS,André Roncon; FORONES,Nora Manoukian; CARVALHO,Marineide Prudêncio de

ABSTRACT Background : The II Brazilian Consensus on Gastric Cancer of the Brazilian Gastric Cancer Association BGCA (Part 1) was recently published. On this occasion, countless specialists working in the treatment of this disease expressed their opinion in the face of the statements presented. Aim : To present the BGCA Guidelines (Part 2) regarding indications for surgical treatment, operative techniques, exten...

Date: 2021   |   Origin: Oasisbr

CIRURGIA DE RESGATE NO CÂNCER GÁSTRICO

SIMÕES,Italo Beltrão Pereira; PEREIRA,Marina Alessandra; RAMOS,Marcus Fernando Kodama Pertille; RIBEIRO JUNIOR,Ulysses; ZILBERSTEIN,Bruno

RESUMO - RACIONAL: A cirurgia de resgate é definida como a ressecção cirúrgica após falha de primeiro tratamento com intuito curativo. OBJETIVO: Relatar a experiência de um centro de referência no tratamento do câncer gástrico com a cirurgia de resgate para o adenocarcinoma de estômago. MÉTODOS: Análise retrospectiva dos pacientes com câncer gástrico operados entre 2009 e 2020. RESULTADOS: 40 pacientes foram su...

Date: 2021   |   Origin: Oasisbr

CÂNCER GÁSTRICO COM EXPRESSÃO POSITIVA DO RECEPTOR DE ESTROGÊNIO ALFA: UMA SÉRI...

DA SILVA,Alice Cristina Castro; PEREIRA,Marina Alessandra; RAMOS,Marcus Fernando Kodama Pertille; CARDILI,Leonardo; RIBEIRO JR,Ulysses

RESUMO - RACIONAL: Apesar do avanço nas terapias, o prognóstico de pacientes com câncer gástrico (CG) avançado permanece ruim. Vários estudos demonstraram a expressão do receptor de estrogênio alfa (REa), porém seu significado no CG permanece controverso. OBJETIVO: relatar uma série de casos de CG com expressão de REa-positivo, e descrever suas características clínicopatológicas e prognóstico. MÉTODOS: Avaliamo...

Date: 2021   |   Origin: Oasisbr

II BRAZILIAN CONSENSUS ON GASTRIC CANCER BY THE BRAZILIAN GASTRIC CANCER ASSOCI...

BARCHI,Leandro Cardoso; RAMOS,Marcus Fernando Kodama Pertille; DIAS,André Roncon; ANDREOLLO,Nelson Adami; WESTON,Antônio Carlos; LOURENÇO,Laércio Gomes

ABSTRACT Background: Since the publication of the first Brazilian Consensus on Gastric Cancer (GC) in 2012 carried out by the Brazilian Gastric Cancer Association, new concepts on diagnosis, staging, treatment and follow-up have been incorporated. Aim: This new consensus is to promote an update to professionals working in the fight against GC and to provide guidelines for the management of patients with this co...

Date: 2020   |   Origin: Oasisbr

BRAZILIAN GASTRIC CANCER ASSOCIATION GUIDELINES (PART 1): AN UPDATE ON DIAGNOSI...

BARCHI,Leandro Cardoso; RAMOS,Marcus Fernando Kodama Pertille; YAGI,Osmar Kenji; MUCERINO,Donato Roberto; BRESCIANI,Claudio José Caldas

ABSTRACT Background: The II Brazilian Consensus on Gastric Cancer by the Brazilian Gastric Cancer Association (ABCG) was recently published. On this occasion, several experts in gastric cancer expressed their opinion before the statements presented. Aim: To present the ABCG Guidelines (part 1) regarding the diagnosis, staging, endoscopic treatment and follow-up of gastric cancer patients. Methods: To forge thes...

Date: 2020   |   Origin: Oasisbr

ROBOTIC GASTRECTOMY: TECHNIQUE STANDARDIZATION

DIAS,Andre Roncon; RAMOS,Marcus Fernando Kodama Pertille; SZOR,Daniel Jose; ABDALLA,Ricardo; BARCHI,Leandro; YAGI,Osmar Kenji; RIBEIRO-JUNIOR,Ulysses

ABSTRACT Background: Robotic gastrectomy is gaining popularity worldwide. It allows reduced blood loss and lesser pain. However, it widespread use is limited by the extensive learning curve and costs. Aim: To describe our standard technique with reduced use of robotic instruments. Methods: We detail the steps involved in the procedure, including trocar placement, necessary robotic instruments, and meticulous su...

Date: 2020   |   Origin: Oasisbr

GASTRECTOMY IN OCTOGENARIANS WITH GASTRIC CANCER: IS IT FEASIBLE?

SILVA,Francisco Diogo Almeida; PEREIRA,Marina Alessandra; RAMOS,Marcus Fernando Kodama Pertille; RIBEIRO-JUNIOR,Ulysses; ZILBERSTEIN,Bruno

ABSTRACT Background: The octogenarian population is expanding worldwide and demand for gastrectomy due to gastric cancer in this population is expected to grow. However, the outcomes of surgery with curative intent in this age group are poorly reported and it is unclear what matters most to survival: age, clinical status, disease´s stage, or the extent of the surgery performed. Aim: Evaluate the results of gast...

Date: 2020   |   Origin: Oasisbr

TOTAL OMENTECTOMY IN GASTRIC CANCER SURGERY: IS IT ALWAYS NECESSARY?

BARCHI,Leandro Cardoso; RAMOS,Marcus Fernando Kodama Pertille; DIAS,André Roncon; YAGI,Osmar Kenji; RIBEIRO-JÚNIOR,Ulysses; ZILBERSTEIN,Bruno

ABSTRACT Background: Traditionally, total omentectomy is performed along with gastric resection and extended lymphadenectomy in gastric cancer (GC) surgery. However, solid evidences regarding its oncologic benefit is still scarce. Aim: To evaluate the incidence of metastatic omental lymph nodes (LN) in patients undergoing curative gastrectomy for GC, as well as its risk factors and patients’ outcomes. Methods: ...

Date: 2019   |   Origin: Oasisbr

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