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Revista chilena de cirugía

On-line version ISSN 0718-4026

Abstract

STAMBUK, JUAN. Immediate results and late survival of radical gastrectomy in 108 patients with resectable gastric cancer. Rev Chil Cir [online]. 2006, vol.58, n.6, pp.420-430. ISSN 0718-4026.  http://dx.doi.org/10.4067/S0718-40262006000600006.

Background: Gastric cancer is the main cause of mortality by cancer in Chile. Surgical excision is the only effective treatment. Aim: To report the results of radical gastrectomy in 108 patients. Material and methods: Prospective study of 108 patients with gastric cancer subjected to a total gastrectomy with a D2 lymphadenectomy and R0 excision. Five years survival and prognostic factors were evaluated. Results: Operative mortality was 0.9%. Seventeen patients had postoperative complications. Among these, 5.5% had fistulae and 4.6% had a subphrenic abscess. One, three and five years survival was 88, 61 and 49% respectively. Five years survival was 88 and 47% for early and advanced cancer, respectively. In the univariate analysis, tumour depth, lymph node involvement and stage were significant prognostic factors. The multivariate analysis only left lymph node involvement as prognostic factor. Conclusions: In this series, overall five years survival of radical gastrectomy for gastric cancer was 49% and the main prognostic factor was lymph node involvement

Keywords : Radical gastrectomy; gastric cancer; survival; surgical complications.

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