Surgical Resection of Remnant Gastric Cancer Following Distal Gastrectomy: A Retrospective Clinicopathological Study
| Autor: | Yuko Kitagawa, Norihito Wada, Rieko Nakamura, Shinichi Tsuwano, Masashi Takahashi, Hiroya Takeuchi, Yoshiro Saikawa, Hirofumi Kawakubo, Tsunehiro Takahashi |
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| Rok vydání: | 2015 |
| Předmět: |
Male
medicine.medical_specialty Time Factors medicine.medical_treatment Adenocarcinoma 03 medical and health sciences 0302 clinical medicine Surgical oncology Gastrectomy Risk Factors Stomach Neoplasms Gastric Stump medicine Humans Billroth I Neoplasm Invasiveness Stage (cooking) Survival rate Aged Neoplasm Staging Retrospective Studies Billroth II business.industry Cancer Retrospective cohort study Middle Aged Plastic Surgery Procedures medicine.disease Prognosis Surgery Survival Rate Oncology 030220 oncology & carcinogenesis Lymphatic Metastasis 030211 gastroenterology & hepatology Female business Follow-Up Studies |
| Zdroj: | Annals of surgical oncology. 23(2) |
| ISSN: | 1534-4681 |
| Popis: | Remnant gastric cancer (RGC) is one of the less prevalent gastric cancers. The purpose of this study was to explore the clinicopathological characteristics and results of the operation of RGC following distal gastrectomy. In particular, we examined factors related to prognosis. Between January 1970 and December 2012, 122 patients with RGC following distal gastrectomy underwent further surgery and were analyzed retrospectively. Initial gastric diseases included benign (49 patients, 40.2 %) and malignant diseases (73 patients, 59.8 %). Reconstructions by initial surgery included Billroth I (80 patients, 65.6 %) and Billroth II (42 patients, 34.4 %). Tumors were located at anastomotic (44 patients, 36.1 %) and nonanastomotic sites (78 patients, 63.9 %). There were 59 patients (48.4 %) classified with pathological (p) stage I, 19 as p stage II (15.6 %), 22 as p stage III (18.0 %), and 22 (18.0 %) as p stage IV. A total of 100 patients (82.0 %) underwent curative resection, and 22 underwent noncurative resection. The number of cases of postoperative morbidity, 90-day mortality, and adjuvant chemotherapy were 23 (18.9 %), 3 (2.5 %), and 20 (16.4 %), respectively. Univariate and multivariate analyses were performed to identify the prognostic factors of RGC. Multivariate analysis revealed historical periods, pathological venous invasion, curative resection, and postoperative morbidity to be independent prognostic factors. The prognosis of patients with RGC can be improved by aggressively performing curative resection without causing complications. |
| Databáze: | OpenAIRE |
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