Unità Operativa di Chirurgia Digestiva
Responsabile: Prof. Giovanni Battista DOGLIETTO
Unità Operativa di Chirurgia Digestiva
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/Malattie trattate/Cancro dello stomaco/Trends in clinical features, postoperative outcomes, and long-term survival for gastric cancer: a Western experience with 1278 patients over 30 years

Trends in clinical features, postoperative outcomes, and long-term survival for gastric cancer: a Western experience with 1278 patients over 30 years

By UOCD - In Cancro dello stomaco - 1 Ottobre 2014

World J Surg Oncol. 2014 Jul 16;12:217. doi: 10.1186/1477-7819-12-217.

Rosa F., Alfieri S., Tortorelli AP., Fiorillo C, Costamagna G, Doglietto GB.

Abstract

BACKGROUND: The aim of the present study was to identify temporal trends in long-term survival and postoperative outcomes and to analyze prognostic factors influencing the prognosis of patients with gastric cancer (GC) treated in a 30-year interval in a tertiary referral Western institution.

METHODS: Between January 1980 and December 2010, 1,278 patients who were diagnosed with GC at the Digestive Surgery Department, Catholic University of Rome, Italy, were identified. Among them, 936 patients underwent surgical resection and were included in the analysis.

RESULTS: Over time there was a significant improvement in postoperative outcomes. Morbidity and mortality rates decreased to 19.4% and 1.6%, respectively, in the last decade. By contrast, the multivisceral resection rate steadily increased from 12.7% to 29.6%. The overall five-year survival rate steadily increased over time, reaching 51% in the last decade, and 64.5% for R0 resections. Multivariate analysis showed a higher probability of overall survival for early stages (I and II), extended lymphadenectomy, and R0 resections.

CONCLUSIONS: Over three decades there was a significant improvement in perioperative and postoperative care and a steady increase in overall survival.

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Divisione di Chirurgia Digestiva

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Divisione di Chirurgia Digestiva
Largo F. Vito, 1 - 00168 - Roma (RM) | segr_chirdig@rm.unicatt.it