Gastric cancer. Factors influencing longterm survival and postoperative mortality.

Abstract

141 patients with gastric carcinoma diagnosed between 1972-1982 have been analyzed with regard to factors influencing hospital mortality and long-term survival. The over-all 5-year survival rate was 7%. Radical surgery was performed in 30% of the cases, and in these patients the 5-year survival rate was 25%. Stage I had a 5-year survival rate of 75%, but only 6% of patients belonged to this group. Patients with a tumor size of less than 5 cm hade a 5-year survival rate of 21%, but 38% of the patients had a tumor size of greater than 10 cm and none of these lived for more than 4 years. Not any patients with the tumor localized to the cardia or the fundus survived more than 2 years. The type of operation in the patients resected for cure did not seem to influence the long-term survival. The total postoperative mortality rate after curative surgery was 28%. We could not find any factors with statistically significant influence on the postoperative mortality. A main reason for the generally poor results is the advanced stage of the disease at the time of diagnosis.

• Authors: S Sjöstedt, R Pieper
• Journal: Acta chirurgica Scandinavica. Supplementum (Acta Chir Scand Suppl) Vol. 530 Pg. 25-9 ( 1986) ISSN: 0301-1860 [Print] Sweden
• PMID: 2425528 (Publication Type: Journal Article)

Topics

• Adult
• Aged
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Neoplasm Staging
• Palliative Care
• Postoperative Complications (mortality)
• Prognosis
• Stomach Neoplasms (mortality, pathology, surgery)