Results of Surgical Treatment for Primary Gastric Adenocarcinoma: Single Institute Experience for 14 Years.
10.5230/jkgca.2009.9.4.193
- Author:
Jun Min CHO
1
;
You Jin JANG
;
Jong Han KIM
;
Sung Soo PARK
;
Seong Heum PARK
;
Young Jae MOK
Author Information
1. Department of Surgery, Korea University College of Medicine, Seoul, Korea. yjmok@korea.ac.kr
- Publication Type:Original Article
- Keywords:
Gastric cancer;
Surgical treatment;
Single institution;
Survival rate;
Prognostic facor
- MeSH:
Humans;
Korea;
Lymph Nodes;
Multivariate Analysis;
Neoplasm Metastasis;
Retrospective Studies;
Stomach Neoplasms;
Survival Rate
- From:Journal of the Korean Gastric Cancer Association
2009;9(4):193-199
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aim of this study was to evaluate the clinicopathologic features, treatment outcomes, and prognostic factors of gastric cancer based on 14 years' experience in a single medical center, and to compare treatment outcomes with a previous study. MATERIALS AND METHODS: We retrospectively studied 2,327 patients who were operated on for gastric cancer between 1993 and 2006 at Korea University Hospital. RESULTS: The resection rate was 92.8% and curative resection was achieved for 1,960 (90.8%) patients. The 5-year survival rate was 70.0% for all patients undergoing resection and 79.2% for patients undergoing curative resection. The 5-year survival rate was 1.5% for unresected cases. Age, tumor size, location of the tumor, gross tumor type, depth of tumor invasion, lymph node involvement, distant metastasis, tumor stage, combined resection, complications, histology, and type of operation each had prognostic significance on univariate analysis. On multivariate analysis, lymph node involvement, depth of invasion, venous invasion, and age were independent prognostic factors. CONCLUSION: The 5-year survival rate for patients who underwent curative resection was 79.2%. Depth of invasion, lymph node involvement, venous invasion, and age were independent prognostic factors. The fact that tumor stage is the most important prognostic factor after curative resection, increases the importance of early detection.
