Differences of the Lymphatic Distribution and Surgical Outcomes Between Remnant Gastric Cancers and Primary Proximal Gastric Cancers

Background Although remnant gastric cancer (RGC) following distal gastrectomy is located in the proximal stomach, little is known about the differences of the lymphatic distribution and surgical outcomes between RGC and primary proximal gastric cancer (PGC). Methods Between 1997 and 2008, 1,149 pati...

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Bibliographic Details
Published in:Journal of gastrointestinal surgery 2012-03, Vol.16 (3), p.503-508
Main Authors: Komatsu, Shuhei, Ichikawa, Daisuke, Okamoto, Kazuma, Ikoma, Daito, Tsujiura, Masahiro, Shiozaki, Atsushi, Fujiwara, Hitoshi, Murayama, Yasutoshi, Kuriu, Yoshiaki, Ikoma, Hisashi, Nakanishi, Masayoshi, Ochiai, Toshiya, Kokuba, Yukihito, Otsuji, Eigo
Format: Article
Language:English
Subjects:
Aged
Endoscopy
Female
Follow-Up Studies
Gastrectomy
Gastric cancer
Gastric Stump - pathology
Gastric Stump - surgery
Gastroenterology
Gastrointestinal surgery
Hospitals
Humans
Lymph Node Excision - methods
Lymph Nodes - pathology
Lymph Nodes - surgery
Lymphatic Metastasis
Lymphatic system
Male
Medical prognosis
Medicine
Medicine & Public Health
Mesentery
Metastasis
Original Article
Prognosis
Retrospective Studies
Stomach Neoplasms - diagnosis
Stomach Neoplasms - secondary
Stomach Neoplasms - surgery
Surgery
Surgical outcomes
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Summary:Background Although remnant gastric cancer (RGC) following distal gastrectomy is located in the proximal stomach, little is known about the differences of the lymphatic distribution and surgical outcomes between RGC and primary proximal gastric cancer (PGC). Methods Between 1997 and 2008, 1,149 patients underwent gastrectomy for gastric cancer. Of these, 33 (2.9%) RGC patients and 207 (18.5%) PGC patients were treated at our department. We reviewed their hospital records retrospectively. Results Compared with the PGC patients, those with RGC had a slightly higher age at onset ( p  = 0.09), higher incidence of undifferentiated cancer ( p  = 0.06), higher incidence of vascular invasion ( p  = 0.09), and higher incidence of T4 ( p  = 0.07). Gastrectomy for RGC involved greater blood loss ( p  
ISSN:1091-255X
1873-4626
DOI:10.1007/s11605-011-1804-3