Survival in patients with gastric cancer after palliative surgical procedures: An analysis based on a homogenous Warsaw Population

Jakub Radziszewski, Piotr Gierej

Abstract


Objective: The aim of the study was to evaluate the prognostic survival factors in a homogenous Warsaw population.

Methods: In a time period of two years 121 inhabitants of Warsaw with advanced or metastatic gastric cancer (T4, N3+ or M1) underwent an operation with palliative intend. Overall survival was estimated after 5-year observation time. Multivariate analysis was made according to age, sex, cancer localization (proximal/medial/distal), type of operation (palliative total or partial gastrectomy/gastrojejunostomy/gastro-jejunostomy nutritive/laparotomy explorativa ), type of metastases (meta to the liver/ peritoneal seeding/ N3+).

Results: Overall survival after 6, 12, 24 months was 35.8%, 12.2% and 0.8% respectively. No patient survived 5-years. There was no impact of sex, age and localization of the tumor on overall survival. Localization of metastases was not a statistically significant factor for survival. Only palliative resection prolongs survival.

Conclusion: Patients with liver metastases improve their survival in case of palliative procedures.


Full Text: PDF DOI: 10.5430/jst.v1n1p8


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Journal of Solid Tumors

ISSN 1925-4067(Print)   ISSN 1925-4075(Online)

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