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- Title
Survival after surgical treatment of early gastric cancer: surgical techniques and long-term survival.
- Authors
Kikuchi, Shiro; Katada, Natsuya; Sakuramoto, Shinichi; Kobayashi, Nobuyuki; Shimao, Hitoshi; Watanabe, Masahiko; Hiki, Yoshiki
- 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.
- Subjects
STOMACH cancer; GASTRECTOMY; CANCER patients; CANCER treatment; CANCER invasiveness; LYMPH nodes; OPERATIVE surgery
- Publication
Langenbeck's Archives of Surgery, 2004, Vol 389, Issue 2, p69
- ISSN
1435-2443
- Publication type
Article
- DOI
10.1007/s00423-004-0462-2