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

  • Current Concepts in Clinical Surgery
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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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Authors and Affiliations

  1. Department of Surgery, School of Medicine, Kitasato University, 1-15-1 Kitasato, Sagamihara-shi, 228, Kanagawa, Japan

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

Authors
  1. Shiro Kikuchi
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  2. Natsuya Katada
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  3. Shinichi Sakuramoto
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  4. Nobuyuki Kobayashi
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  5. Hitoshi Shimao
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  6. Masahiko Watanabe
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  7. Yoshiki Hiki
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Correspondence to Shiro Kikuchi.

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Kikuchi, S., Katada, N., Sakuramoto, S. et al. Survival after surgical treatment of early gastric cancer: surgical techniques and long-term survival. Langenbecks Arch Surg 389, 69–74 (2004). https://doi.org/10.1007/s00423-004-0462-2

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  • DOI: https://doi.org/10.1007/s00423-004-0462-2

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