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[Comparison of three surgical approachs for cardiac carcinoma]
1People's Hospital of Yangzhong, Yangzhong 212200, P. R. China.
Insights
This study found no significant difference in survival rates among three surgical approaches for cardiac carcinoma. The best surgical approach should be individualized based on tumor characteristics and patient health.
Area of Science:
- Cardiothoracic Surgery
- Surgical Oncology
- Gastrointestinal Oncology
Background:
- Surgical management of cardiac carcinoma lacks a consensus on the optimal approach for middle-to-long term survival.
- Various surgical techniques exist, leading to ongoing debate regarding their comparative efficacy.
Purpose of the Study:
- To investigate and compare the efficacy of different surgical approaches for cardiac carcinoma.
- To determine the optimal surgical strategy for improving patient survival rates.
Main Methods:
- A retrospective analysis of 353 patients with cardiac carcinoma was conducted.
- Survival rates and stump complication rates were compared across three surgical groups: improved epigastrium, left-chest, and epigastrium-chest.
Main Results:
- The five-year survival rates were 46.2% (epigastrium), 37.6% (left-chest), and 57.6% (epigastrium-chest).
- Stump complication rates were 1.46% (epigastrium), 1.64% (left-chest), and 2.08% (epigastrium-chest).
- No statistically significant differences were observed among the three groups (P < 0.05).
Conclusions:
- Surgical approach does not significantly influence middle-to-long term survival or stump complication rates in cardiac carcinoma.
- Individualized surgical planning is recommended, considering tumor location, extent, and patient's overall health condition.
Background & Objective:
The surgical approach for cardiac carcinoma are various. However, there was still controversial which one could resulting in is the best one to the middle-long term survival rate after the surgical operation. The current study was designed to explore the best surgical approach for cardiac carcinoma.
Methods:
The authors analyzed 353 patients with cardiac carcinoma in Yangzhong People's Hospital. The survival rate and stump masculine rate among three surgery approach (improved epigastrium, left-chest, and epigastrium-chest groups) were compared.
Results:
The five-year survival rate and stump masculine rate: epigastrium group were 46.2% and 1.46%; left-chest group were 37.6%, 1.64%; epigastrium-chest group were 57.6% and 2.08%; There was no significant difference among three groups(P < 0.05).
Conclusions:
Different surgical approach have no obvious influences to middle-long survival rate and stump masculine rate, thus, the authors suggest the surgery approach should based on location and bound of focus and health condition of the patient.
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