Feasibility of Gastric Cancer Surgery at Low Volume Hospitals.
10.5230/jgc.2010.10.4.234
- Author:
Maru KIM
1
;
Jongkyung PARK
;
Sung Geun KIM
;
Seonghye CHOI
;
Sangsub YOON
;
Seong LEE
Author Information
1. Department of Surgery, The Catholic University of Korea, School of Medicine, Seoul, Korea. sack@catholic.ac.kr
- Publication Type:Original Article
- Keywords:
Stomach neoplasms;
General surgery;
Survival;
Low volume center;
Reference standards
- MeSH:
Female;
Hospitals, Low-Volume;
Humans;
Korea;
Male;
Retrospective Studies;
Stomach Neoplasms;
Survival Rate;
Tertiary Care Centers
- From:Journal of Gastric Cancer
2010;10(4):234-240
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: Most gastric cancer patients undergo operations at large tertiary hospitals in Korea. However, some patients are treated at low volume hospitals. We investigated patient outcomes after gastric surgery at a secondary hospital and compared with outcomes of large volume centers. MATERIALS AND METHODS: We included 184 patients who underwent gastric surgery for gastric cancer at our hospital from January 2003 to December 2008. We conducted a retrospective study and evaluated the clinicopathological characteristics, clinical outcomes and survival rate of patients. RESULTS: Mean age was 61.7 years old. Male to female ratio was 2.2 : 1. Proportion of early gastric cancer was 38.6% and that of advanced gastric cancer was 61.4%. The 5 year overall survival rate of 184 patients was 66.3%. The overall survival rate was significantly lower for people over 62 years old. The morbidity rate and mortality at our hospital were 10.3% and 0.5%, respectively. CONCLUSIONS: The overall survival rate, morbidity and mortality were similar to those of the previous reports from Korea. Treatment of gastric cancer at a secondary hospital is feasible and safe. Standardization of operations and management of gastric cancer patients of the Korean Gastric Cancer Association is the most important factor to achieve these outcomes.
