1993 Volume 54 Issue 2 Pages 326-330
In a recent 15-year period from 1976 to 1990, 1146 cases were operated on for gastric cancer, and 34 (3.0%) out of 1146 cases were complicated by liver cirrhosis. There were 30 males and 4 females, and the mean age was 60.7±10.2 years old. According to the Child's classification, 22 cases were classified into group A and 12 into group B. The case of Group C had not been operated on. In macroscopic classification of liver cirrhosis, there were one case of Ko-type and 33 of Otsu-type. Clinical staging resulted in 20 cases in stage I, one in stage II, 7 in stage III and 6 in stage IV, liver metastasis being noted in only one case. Though we tried to minimize the operation time and blood loss, by performing R0 in 2 cases, R1, in 14, and R2 in 18, postoperative course was often complicated by excessive ascites and leakage, leading to hepatic failure. The late-deaths were more commonly caused by hepatic failure rather than by recurrent gastric cancer, in which a possible association of secondary hepatocellular carcinoma was indicated.
