, Volume 44, Issue 4, pp 410-416
Date: 28 Jun 2013

Surgical Treatment of Gastric Cancer in a Community Hospital in Brazil: Who Are We Treating and How?

Rent the article at a discount

Rent now

* Final gross prices may vary according to local VAT.

Get Access



Surgical treatment of gastric cancer has risks, and the current trend in developed countries is to centralize cases in high-volume centers. Many countries, however, particularly the developing ones, have to rely in low-volume centers for the most part of gastric cancer operations. We aimed to verify the characteristics of the patients and tumors as well as the in-hospital outcomes in a community hospital in Brazil treating gastric cancer.


This is a retrospective study on patients undergoing surgical treatment of gastric adenocarcinoma at a community hospital in Brazil. The authors reviewed demographic, clinical, pathological, and perioperative data.


A total of 28 patients were operated on during the study period. Mean age was 69.5 years, 53.6 % were male, 67.9 % had anemia, 78.5 % had ASA score ≥ 3, 89.3 % were at nutritional risk, intestinal/diffuse ratio was 1.6, 68.5 % had tumor ≥ 6 cm, involvement of lower/middle third of the stomach occurred in 96.4 %, 73.7 % had serosal invasion, 79 % had stage III disease, median number of dissected nodes was 23, median operative time was 255 min, 21.4 % had urgent procedures, 67.8 % had curative surgery, 50 % had distal gastrectomy, 43.5 % had a Billroth I, median length of stay was 17 days, 53.6 % had some admission to the intensive care unit, 21.4 % required relaparotomy, 25 % had wound infection/dehiscence, and mortality was 66.7/18.2 % (urgent/non-urgent surgery).


We treat elderly malnourished patients with multiple comorbidities and advanced cancer. Improvement is required in lymph node dissection, non-surgical therapies, and critical care.