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01-04-2004 | Current Concepts in Clinical Surgery

Survival after surgical treatment of early gastric cancer: surgical techniques and long-term survival

Authors: Shiro Kikuchi, Natsuya Katada, Shinichi Sakuramoto, Nobuyuki Kobayashi, Hitoshi Shimao, Masahiko Watanabe, Yoshiki Hiki

Published in: Langenbeck's Archives of Surgery | Issue 2/2004

Abstract

Background and aims

Recent results from long-term follow-up of a large number of patients who have undergone gastric resection for early gastric cancer (EGC) have not yet been fully evaluated.

Patients and methods

A total of 848 patients who had undergone gastric resection for EGC (262 female, 586 male; mean age 58.0 years; range 20–86 years) were studied with respect to surgical technique, long-term survival and prognostic factors on the basis of current TNM classification.

Results

Death related to recurrence occurred in only eight patients (0.9%). Hematogenous metastasis to the liver or bone represented the most common pattern of recurrence, developing in six of the eight recurrences (75%). The 5-year and 10-year cancer-related survival rates were 98.6% and 94.8%, respectively. The 5-year and 10-year overall survival rates were 95.2% and 85.0%, respectively. Lymph node metastasis represented an independent prognostic factor when analyzed on the basis of cancer-related survival.

Conclusion

The present findings indicate that long-term survival of patients who undergo gastric resection for EGC is extremely good and that lymph node metastasis represents an independent prognostic factor when analyzed according to cancer-related survival. Future developments for the treatment of EGC are expected to improve quality of life for patients after gastric resection.

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Title: Survival after surgical treatment of early gastric cancer: surgical techniques and long-term survival
Authors: Shiro Kikuchi
Natsuya Katada
Shinichi Sakuramoto
Nobuyuki Kobayashi
Hitoshi Shimao
Masahiko Watanabe
Yoshiki Hiki
Publication date: 01-04-2004
Publisher: Springer-Verlag
Published in: Langenbeck's Archives of Surgery / Issue 2/2004
Print ISSN: 1435-2443
Electronic ISSN: 1435-2451
DOI: https://doi.org/10.1007/s00423-004-0462-2

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Survival after surgical treatment of early gastric cancer: surgical techniques and long-term survival

Abstract

Background and aims

Patients and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background and aims

Patients and methods

Results

Conclusion

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Professor Dr. med. Dr. med. h. c. Walter Brendel 1922–1989