Parameters affecting laser palliation in patients with advanced digestive cancers

✍ Scribed by Professeur Jean Marc Brunetaud; Vincent Maunoury; Dominique Cochelard; Brigitte Boniface; Antoine Cortot; Jean Claude Paris

• Publisher: John Wiley and Sons
• Year: 1989
• Tongue: English
• Weight: 454 KB
• Volume: 9
• Category: Article
• ISSN: 0196-8092
• DOI: 10.1002/lsm.1900090213

✦ Synopsis

Ninety-nine nonsurgical patients (group I) with esophagogastric cancer were referred to the laser center for palliation of dysphagia, and another 142 nonsurgical patients (group 11) with a rectosigmoid cancer were referred for palliation of abnormal rectal discharge (125 patients) or occlusion (17 patients). The immediate success rate was 83% in group I and 90% in group 11. Patients were retreated monthly. The average duration of palliation was 4.3 months f 0.5 (f standard error) in group I and 9.3 months f 0.95 in group 11. Complication rate was 4% in group I and 3.4% in group 11. Parameters affecting results were found only in group I. Factors that could negatively affect the immediate success rate included annular size of the tumor basis more than two thirds of the circumference, tumor localization at the upper third of the esophagus, and recurrence after a nonlaser treatment. The average duration of improvement after initial success was affected only by the circumferential extension.