Survival After Surgical Treatment of Early Gastric Cancer: Surgical Techniques and Long-term Survival

Overview

Journal Langenbecks Arch Surg

Specialty General Surgery

Date 2004 Feb 27

PMID 14985987

Citations 26

Authors

Shiro Kikuchi

Natsuya Katada

Shinichi Sakuramoto

Nobuyuki Kobayashi

Hitoshi Shimao

Masahiko Watanabe

Yoshiki Hiki

Affiliations

Soon will be listed here.

Abstract

Background And Aims: Recent results from long-term follow-up of a large number of patients who have undergone gastric resection for early gastric cancer (EGC) have not yet been fully evaluated.

Patients And Methods: A total of 848 patients who had undergone gastric resection for EGC (262 female, 586 male; mean age 58.0 years; range 20-86 years) were studied with respect to surgical technique, long-term survival and prognostic factors on the basis of current TNM classification.

Results: Death related to recurrence occurred in only eight patients (0.9%). Hematogenous metastasis to the liver or bone represented the most common pattern of recurrence, developing in six of the eight recurrences (75%). The 5-year and 10-year cancer-related survival rates were 98.6% and 94.8%, respectively. The 5-year and 10-year overall survival rates were 95.2% and 85.0%, respectively. Lymph node metastasis represented an independent prognostic factor when analyzed on the basis of cancer-related survival.

Conclusion: The present findings indicate that long-term survival of patients who undergo gastric resection for EGC is extremely good and that lymph node metastasis represents an independent prognostic factor when analyzed according to cancer-related survival. Future developments for the treatment of EGC are expected to improve quality of life for patients after gastric resection.

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