Analysis of Clinical, Pathological, and Treatment Factors in Gastric Cancer

A retrospective study of 122 patients, who were operated between January 1989 and December 2001, was performed D1 dissection was performed in the operations. In this study, initiatives that do not leave macroscopic tumor behind were evaluated as curative resections. The patients who underwent total gastrectomy were mostly reconstructed with omega loop and Braun anastomosis. Among the patients, 81 (66.4%) were male and 41 (33.6%) female. The youngest patient was 26 and the oldest 82 years old. The average age of patients was 58.9 years. Fifty seven patients (46.7%) were treated with curative (R1) resection, while 20 (16.4%) with palliative resection, 20 (16.4%) with surgical bypass, 5 (4.2%) with gastrostomy, 2 (1.6%) with nutritional jejunostomy, and 18 (14.7%) underwent only explorative laparotomy. Patients who were operated were identified as follows: 3 of the patients (2.4%) were in Stage IA, 4 (3.2%) in Stage IB, 23 (18.8%) in Stage II, 11 (9.1%) in Stage IIIA, 16 (13.2%) in Stage IIIB, and 55 (53.3%) in Stage IV. The average life expectancy in the survival analysis of all patients was 44 (± 3) months and the 5-year survival rate was 42.5%. Survival results were found to be consistent with western-sourced results. These results have led to the need of comparison of D1 and D2 dissections with a prospective randomized study.