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Objective:

For patients with laparoscopic stage M1 gastric adenocarcinoma, no resection of the primary tumor, and systemic chemotherapy, this study investigated the incidence of subsequent palliative intervention and survival.

Summary Background Data:

Laparoscopy was performed for patients with computed tomography scan stage M0 disease and no significant obstruction or bleeding.

Methods:

A prospectively maintained database for 1993 to 2002 was used to identify 165 patients (median age, 63 years) with laparoscopic M1 disease in the peritoneum (P1, adjacent to stomach, 9%; P2, few distant sites, 35%; or P3, disseminated, 30%) or liver (10%) or both (16%). Functional performance status (FPS, Eastern Cooperative Oncology Group) was 0 to 1 (84%) or 2 (16%).

Results:

Subsequent intervention was performed on 50% of patients, at median interval of 4 months (range, 1–35 months) after laparoscopy …