Long-term Results of Gastric Cancer Surgery
Author Information
Author(s): Heemskerk Vincent H, Lentze Fanneke, Hulsewé Karel WE, Hoofwijk Anton GM
Primary Institution: Maaslandziekenhuis, Department of Surgery, Sittard, The Netherlands
Hypothesis
What are the long-term outcomes of gastric cancer surgery in a community teaching hospital?
Conclusion
Long-term survival after surgery for gastric cancer is poor, but early detection and radical resection can improve outcomes.
Supporting Evidence
- 50% of patients underwent curative resection.
- 5-year survival rate for curative resection was 47%.
- Postoperative morbidity was reported at 40%.
- 37% of patients presented with stage IV disease.
Takeaway
This study looked at patients who had surgery for stomach cancer and found that many didn't survive long, but those who had surgery early on did better.
Methodology
Data was collected from a surgical database for patients treated for gastric carcinoma between 1992 and 2004, including demographic parameters and surgical outcomes.
Potential Biases
Selection bias may exist due to the nature of the patient population and the surgical interventions performed.
Limitations
The study is limited by its retrospective nature and the fact that many patients presented at advanced stages of cancer.
Participant Demographics
The cohort included 141 male and 94 female patients with a median age of 69 years.
Statistical Information
P-Value
0.0007
Statistical Significance
p = 0.0007
Digital Object Identifier (DOI)
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