Abstract
Background
Although the mortality for gastric cancer is decreasing in Western Europe and United
States, it still remains high in Eastern Europe. This study was aimed at evaluating
short- and long-term results of surgical treatment of gastric cancer performed in
Latvia Oncology Center.
Methods
Retrospectively collected data from 461 patients who underwent gastrectomy with curative
intent in Latvia Oncology Center from January 2001 to December 2005 were analyzed
statistically.
Results
An average (range) of 92.2 (81–102) R0–R1 gastrectomies was performed each year. Post-operative
complications occurred in 75 patients (16.3%); in-hospital mortality was 3.3%. The
overall 5-year survival was 50.8%. In 444 cases (96.3%) there was histopathologic
confirmation of R0-resection with a 5-year survival of 52.5% (P<0.001). Considering pT category, 5-year survival was 88.6% for pT1 patients, 65% for
pT2, 42.3% for pT3 and 27% for pT4 (P<0.001). Considering pN category, 5-year survival was 67% for pN0 patients, 30% for
pN1 and 29% for pN2-3 (P<0.001).
Conclusions
Clinico-pathologic characteristics of patients who underwent resection with curative
intent are comparable to other Western experiences. Short- as well as long-term results
are also similar if not for pN+ patients where no difference between pN1 and pN2 cases
was observed.
Keywords
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Article info
Publication history
Accepted:
November 26,
2008
Identification
Copyright
© 2008 Elsevier Ltd. Published by Elsevier Inc. All rights reserved.
