Prognosis and related factors of different treatments for patients with gastric stump cancer / 局解手术学杂志

ABSTRACT

Objective To evaluate the efficacy of different surgical treatments for 60 cases of gastric stump cancer patients and their prognostic factors. Methods Retrospectively analyze the clinical data of 60 cases of gastric stump cancer patients,and divided them into rad-ical surgery group (38 cases) and non-radical surgery group (22 cases) in accordance with the surgical methods. Survival rate and prognostic factors of 1,3 and 5 years after operation were compared. Results As of May 2007,a total of 7 patients of radical surgery group survived. Survival rate of 1,3 and 5 years after operation were respectively 89. 5%,44. 7%,and 18. 4% in the radical surgery group while 40. 9%, 1. 0%,0. 0% in the non-radical surgery group. Median survival time was 22 months in the radical surgery group and 14 months in the non-radical surgery group. The survival rate of the two groups were of a significant difference (P<0. 05). Conclusion Survival rate,TNM stage, radical surgery,degree of differentiation,lymph node metastasis,peritoneal metastasis,and liver metastasis are all independent prognostic fac-tors which affect gastric stump cancer.