Surgical treatment of gastric cancer in Latvia: Results of centralized experience

Abstract Background Although the mortality for gastric cancer is decreasing in Western Europe and United States, it still remains high in Eastern Europe. This study was aimed at evaluating short- and long-term results of surgical treatment of gastric cancer performed in Latvia Oncology Center. Metho...

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Bibliographic Details
Published in:European journal of surgical oncology 2009-05, Vol.35 (5), p.481-485
Main Authors: Sivins, A, Pedrazzani, C, Roviello, F, Ancans, G, Timofejevs, M, Pcholkins, A, Krumins, V, Boka, V, Stengrevics, A, Leja, M
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Analysis of Variance
Chi-Square Distribution
Female
Gastrectomy - methods
Gastric cancer
Hematology, Oncology and Palliative Medicine
Hospital Mortality
Humans
Latvia - epidemiology
Male
Middle Aged
Neoplasm Staging
Outcome and Process Assessment (Health Care)
Postoperative Complications - epidemiology
Prognosis
Registries
Retrospective Studies
Stomach Neoplasms - epidemiology
Stomach Neoplasms - pathology
Stomach Neoplasms - surgery
Surgery
Surgical treatment
Survival Rate
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Summary:Abstract Background Although the mortality for gastric cancer is decreasing in Western Europe and United States, it still remains high in Eastern Europe. This study was aimed at evaluating short- and long-term results of surgical treatment of gastric cancer performed in Latvia Oncology Center. Methods Retrospectively collected data from 461 patients who underwent gastrectomy with curative intent in Latvia Oncology Center from January 2001 to December 2005 were analyzed statistically. Results An average (range) of 92.2 (81–102) R0–R1 gastrectomies was performed each year. Post-operative complications occurred in 75 patients (16.3%); in-hospital mortality was 3.3%. The overall 5-year survival was 50.8%. In 444 cases (96.3%) there was histopathologic confirmation of R0-resection with a 5-year survival of 52.5% ( P < 0.001). Considering pT category, 5-year survival was 88.6% for pT1 patients, 65% for pT2, 42.3% for pT3 and 27% for pT4 ( P < 0.001). Considering pN category, 5-year survival was 67% for pN0 patients, 30% for pN1 and 29% for pN2-3 ( P < 0.001). Conclusions Clinico-pathologic characteristics of patients who underwent resection with curative intent are comparable to other Western experiences. Short- as well as long-term results are also similar if not for pN+ patients where no difference between pN1 and pN2 cases was observed.
ISSN:0748-7983
1532-2157
DOI:10.1016/j.ejso.2008.11.006