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Long-term Outcomes of Gastric Cancer in a Small Institute: a Single Surgeon Experience

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Abstract

The aim of our study was to analyze the short-term and long-term outcomes of gastric cancer patients who underwent surgical treatment in a small, single institute by one surgeon. We retrospectively reviewed the medical records of 950 patients who underwent surgical treatment for gastric cancer between January 2000 and January 2010 at Dong-rae Paik Hospital, Inje University College of Medicine, Busan, Republic of Korea. A total of 820 patients were included and analyzed. We divided the time period into 2 groups: 2000–2005 (period 1) and 2006–2010 (period 2). Since all of the surgeries were performed by a single surgeon, we were able to analyze the effect of increasing individual surgeon experience. The mean follow-up period was 78.26 months. The 5-year overall survival and relapse-free survival rates of all of the patients were 84.6% and 86.5%, respectively; the postoperative morbidity and mortality rates were 12% and 0.36%, respectively. The relapse-free survival rate was higher in period 2 than in period 1 (82.9% vs 90.2%, p = 0.002). The results of gastric cancer surgery between a small institute and the large institutes were comparable. The increased proportion of early gastric cancer and individual surgeon experience was associated with the improvement in the long-term oncologic outcomes of gastric cancer treatment.

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Data Availability

The data used and/or analyzed during the current study are available from the corresponding author on reasonable request.

Abbreviations

IV:

intravenous

LN:

LYMPH node

LADG:

laparoscopic-assisted distal gastrectomy

POD:

postoperative day

HR:

hazard ratio

CI:

confidence interval

BMI:

body mass index

PNI:

perineural invasion

LVI:

lymphatic invasion

VNI:

venous invasion

P1:

period 1 (2000–2005)

P2:

period 2 (2006–2010)

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Author notes

  1. Ji Yoon Jeong, Kwang Hee Kim and Sang Hyuk Seo contributed equally to this work.

Authors and Affiliations

  1. Department of Surgery, Busan Paik Hospital, Inje University, Bokgiro 75, Busanjin-gu, Busan, Republic of Korea

    Ji Yoon Jeong, Kwang Hee Kim, Sang Hyuk Seo, Min Sung An, HyungJoo Baik & Sang Hoon Oh

  2. Department of Surgery, Haeundae Paik Hospital, Inje University, Busan, Republic of Korea

    Jin Soo Kim & Ki Hoon Kim

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  1. Ji Yoon Jeong
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Contributions

SHS contributed to the study conception and design. JYJ and KHK contributed to the development of methodology. KHK and JSK contributed to the acquisition of data. MSA and HJB contributed to the analysis and interpretation of data. JYJ and KHK contributed equally to the writing, review, and/or revision of the manuscript as 1st authors. SHO contributed to the administrative, technical, or material support. SHS contributed to the study supervision. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Sang Hyuk Seo.

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Ethics Approval and Consent to Participate

This study was approved by the Institutional Review Board of Busan Paik Hospital, Inje University, Busan, Republic of Korea (IRB no. 19-0189)

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Not applicable

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The authors declare that they have no competing interests.

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Ji Yoon Jeong and Kwang Hee Kim are co-first authors.

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Jeong, J.Y., Kim, K.H., Seo, S.H. et al. Long-term Outcomes of Gastric Cancer in a Small Institute: a Single Surgeon Experience. Indian J Surg 83, 531–538 (2021). https://doi.org/10.1007/s12262-020-02659-0

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