Abstract
Background: Conversion surgery is performed when unresectable gastric cancer is changed to be resectable by chemotherapy. There are the unresectable factors of tumor invasion of adjacent structure (T4b), peritoneal metastasis (P1), hepatic metastasis (H1), distant metastasis (M1), positive peritoneal cytology (CY1). This study was aimed to define the optimal time for operation in conversion therapy by comparing the difference of survival rate between the early conversion surgery group and the late conversion surgery group in the patients with stage IV gastric cancer which was equally down-staged by initial palliative chemotherapy and fulfill the criteria for surgical resection.
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