Retrospective Study
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Surg. Jul 27, 2023; 15(7): 1423-1433
Published online Jul 27, 2023. doi: 10.4240/wjgs.v15.i7.1423
Emergency exploratory laparotomy and radical gastrectomy in patients with gastric cancer combined with acute upper gastrointestinal bleeding
Feng Kuang, Jian Wang, Bai-Qi Wang
Feng Kuang, Jian Wang, Department of Emergency, The First Affiliated Hospital of University of South China, Hengyang 421001, Hunan Province, China
Bai-Qi Wang, Department of Radiation Oncology, The Second Affiliated Hospital of University of South China, Hengyang 421001, Hunan Province, China
Author contributions: Wang J designed the study; Kuang F and Wang BQ performed the experiments and analyzed the data; Kuang F wrote the manuscript; and all authors have read and approved the final manuscript.
Institutional review board statement: The study was approved by Ethics Committee of The First Affiliated Hospital of the University of South China.
Informed consent statement: The data used in the study were not involved in the patients’ privacy information, so the informed consent was waived by the Ethics Committee of The First Affiliated Hospital of University of South China. All patient data obtained, recorded, and managed only used for this study, without any harm to the patient.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jian Wang, MM, Attending Doctor, Department of Emergency, The First Affiliated Hospital of University of South China, No. 69 Chuanshan Road, Hengyang 421001, Hunan Province, China. wangjian13988@163.com
Received: April 6, 2023
Peer-review started: April 6, 2023
First decision: April 19, 2023
Revised: May 7, 2023
Accepted: May 24, 2023
Article in press: May 24, 2023
Published online: July 27, 2023
Processing time: 106 Days and 5 Hours
Core Tip

Core Tip: Gastric cancer (GC) is a prevalent digestive system malignancy that commonly results in upper gastrointestinal bleeding (UGIB). Surgery is the primary treatment modality for GC. Radical gastrectomy and palliative therapy are commonly adopted surgical procedures. This present study investigated the clinical efficacy and safety of palliative therapy and exploratory laparotomy + radical gastrectomy in patients with GC and acute UGIB. The outcomes of the study showed that exploratory laparotomy + radical gastrectomy improved surgical efficacy, enhanced survival rates, lowered the probability of tumor recurrence, and bettered the prognosis of patients.