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2003 Fiscal Year Final Research Report Summary

Establishment of a new multidisciplinary therapy with pre-operative laparoscopy and molecular diagnosis for peritoneal dissemination of advanced gastric cancer.

Research Project

Project/Area Number 14571194
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Digestive surgery
Research InstitutionOsaka University

Principal Investigator

FUJIWARA Yoshiyuki  Osaka University, Graduate School of Medicine, Assistant Professor, 医学系研究科, 助手 (40314330)

Co-Investigator(Kenkyū-buntansha) YASUDA Takushi  Osaka University, Graduate School ofMedicine, Assistant Professor, 医学系研究科, 助手 (10324782)
YANO Masahiko  Osaka University, Graduate School of Medicine, Assciate Professor, 医学系研究科, 助教授 (70273646)
TAKIGUCHI Syuji  Osaka University, Graduate School of Medicine, Assistant Professor, 医学系研究科, 助手 (00301268)
MONDEN Morito  Osaka University, Graduate School of Medicine, Professor, 医学系研究科, 教授 (00127309)
Project Period (FY) 2002 – 2003
Keywordsadvanced gastric cancer / peritoneal dissemination / molecular diagnosis / micrometastasis / laparoscopy / chemotherapy
Research Abstract

1, We have developed molecular diagnosis for micrometastasis in peritoneal lavage fluids of gastric cancer patients (Int.J.Oncol,2003).
2, We introduced pre-operative laparoscopy and molecular diagnosis with peritoneal lavage fluids for advanced gastric cancer. Pre-operative intra-operative chemotherapy was performed for serosa-invaded gastric cancer cases. These results showed that if molecular diagnosis changed from micrometastasis positive to negative, the prognosis of the patient was improved (Ann.Surg.Oncol,2004).
3, The pilot study of a new multidisciplinary therapy was performed for 60 cases with advanced gastric cancer. This study showed that pre-operative chemotherapy for high-risk patients of peritoneal recurrence was beneficial and the patients with molecular diagnosis (-) had a better prognosis.
4, In conclusion, the new multidisciplinary therapy combined with laparoscopy and molecular diagnosis will be effective for far-advanced gastric cancer patients.

  • Research Products

    (23 results)

All Other

All Publications (23 results)

  • [Publications] Yano M., Fujiwara Y., et al.: "Neoadjuvant chemotherapy followed by salvage surgery : Effect on survival of patients with primary noncurative gastric cancer."World J. Surg. 26. 1155-1159 (2002)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yano Y., Fujiwara Y., et al.: "Intra-operative genetic diagnosis-based lymphadenectomy for thoracic esophageal cancer."Res.Adv. in Cancer. 2. 339-352 (2002)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yoshioka S., Fujiwara Y., et al.: "Real-time rapid reverse transcriptase polymerase chain reaction for intraoperative diagnosis of lymph node micrometastasis : Clinical application for cervical lymph node dissection in esophageal cancers."Surgery. 132(1). 34-40 (2002)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Sugita Y., Fujiwara Y., et al.: "Overexpression of β1,4N-Acetylgalactosaminyltransferase mRNA as a molecular marker for various types of cancers."Oncology. 62. 149-156 (2002)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Urano N., Fujiwara Y., et al.: "Absence of beta-tubulin gene mutation in gastric carcinoma."Gastric Cancer. 6(2). 108-112 (2003)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Mori T., Fujiwara Y., et al.: "Experimental study to evaluate the usefulness of S-1 in a model of peritoneal dissemination of gastric cancer."Gastric Cancer. 6. 13-18 (2003)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Sugita Y, Fujiwara Y: "Quantitative molecular diagnosis of peritoneal lavage fluid for prediction of peritoneal recurrence in gastric cancer."Int J Oncol. 23(5). 1419-1423 (2003)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yamamoto S., Fujiwara Y., et al.: "Expression level of valosin-containing protein is strongly associated with progression and prognosis of gastric carcinoma."Journal of Clinical Oncology. 21(13). 2537-2544 (2003)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Takiguchi S., Fujiwara Y., et al.: "Totally laparoscopic distal gastrectomy using the hand-sewn billroth-I anastomotic technique: report of a case."Surgery Today. 33. 371-374 (2003)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 藤原義之, 谷口博一, 他: "術前腹腔内化学療法施行後胃切除を施行された症例で早期に癌性イレウス症状を来した2症例の検討"癌と化学療法. 30(11). 1614-1617 (2003)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Mori T, Fujiwara Y: "Application of molecular diagnosis for detection of peritoneal micrometastasis and evaluation of preoperative chemotherapy in advanced gastric carcinoma."Ann Surg Oncol. 11(1). 14-20 (2004)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Takiguchi S., Fujiwara Y., et al.: "Laparoscopic lymph node dissection for gastric cancer with intraoperative navigation using three-dimensional angio computed tomography images reconstructed as laparoscopic view."Surg Endosc. 18(1). 106-110 (2004)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Yano M., Fujiwara Y.et al.: "Neoadjuvant chemotherapy followed by salvage surgery: Effect on survival of patients with primary noncurative gastric cancer."World J.Surg. 26. 1155-1159 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yano Y., Fujiwara Y.et al.: "Intra-operative genetic diagnosis-based lymphadenectomy for thoracic esophageal cancer."Res.Adv.in Cancer. 2. 339-352 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yoshioka S., Fujiwara Y.et al.: "Real-time rapid reverse transcriptase polymerase chain reaction for intraoperative diagnosis of lymph node micrometastasis: Clinical application for cervical lymph node dissection in esophageal cancers."Surgery. 132(1). 34-40 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Sugita Y., Fujiwara Y.: "Overexpression of β1,4N-Acetylgalactosaminyltransferase mRNA as a molecular marker for various types of cancers."Oncology. 62. 149-156 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Sugita Y, Fujiwara Y. et al.: "Quantitative molecular diagnosis of peritoneal lavage fluid for prediction of peritoneal recurrence in gastric cancer."Int J Oncol. 23(5). 1419-1423 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Urano N, Fujiwara Y. et al.: "Absence of beta-tubulin gene mutation in gastric carcinoma."Gastric Cancer. 6(2). 108-112 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Mori T, Fujiwara Y. et al.: "Experimental study to evaluate the usefulness of S-1 in a model of peritoneal dissemination of gastric cancer."Gastric Cancer. 6(1). 13-18 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Yamamoto S., Fujiwara Y.et al.: "Expression level of valosin-containing protein is strongly associated with progression and prognosis of gastric carcinoma"Journal of Clinical Oncology. 21(13). 2537-2544 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Takiguchi S., Fujiwara Y et al.: "Totally laparoscopic distal gastrectomy using the hand-sewn billroth-I anastomotic technique: report of a case"Surgery Today. 33. 371-374 (2003)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Mori T, Fujiwara Y. et al.: "Application of molecular diagnosis for detection of penitoneal micrometastasis and evaluation of preoperative chemotherapy in advanced gastric carcinoma."Ann Surg Oncol. 11(1). 14-20 (2004)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Takiguchi S., Fujiwara Y.et al.: "Laparoscopic lymph node dissection for gastric cancer with intraoperative navigation using three-dimensional angio computed tomography images reconstructed as lap aroscopic view."Surg Endosc. 18(1). 106-110 (2004)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 2005-04-19  

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