Analysis of Local Recurrence Following Proximal Gastrectomy in Patients with Upper Third Gastric Cancer.
- Author:
Chang Hak YOO
1
;
Byung Ho SOHN
;
Won Kon HAN
;
Won Kil PAE
Author Information
1. Department of Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Stomach neoplasm;
Proximal gastrectomy;
Local recurrence;
Prognosis
- MeSH:
Diagnosis;
Follow-Up Studies;
Gastrectomy*;
Gastric Stump;
Humans;
Prognosis;
Recurrence*;
Reoperation;
Retrospective Studies;
Risk Factors;
Stomach Neoplasms*
- From:Cancer Research and Treatment
2002;34(4):247-251
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Little is known about local recurrence following proximal gastrectomy in patients with upper third gastric cancer. We performed this study to evaluate the long-term results of a proximal gastrectomy, and to analyze the risk factors of local recurrence affecting survival in these patients. MATERIALS AND METHODS: We undertook a retrospective study of 63 patients who underwent potentially curative proximal gastrectomy between 1990 and 1999, with special reference to local recurrence. RESULTS: During a median follow-up period of 37 months, 25 of the 63 patients (39.7%) developed a recurrence of cancer, with local recurrence in 15 patients (23.8%), the majority of these occurring at the remnant stomach or anastomosis. The median time to local recurrence was 38 months (8~78 months). Univariate analysis of risk factors for local recurrence revealed an infiltrative or diffuse gross type, with a tumor sizes>5 cm, a distal resection margin
