An analysis of surgical treatment and prognosis in 56 cases with gastric cancer

Objective: To assess the prognosis of patient with gastric cancer after gastrectomy. Methods: Clinical data of 56 cases after gastrectomy from 1999 to 2002 were analyzed retrospectively. All patients underwent gastrectomy, including distal stomach resection and Billroth Ⅰ inosculated (28), distal stomach resection and Billroth Ⅱ inosculated (13), Total gastrectomy (14), and local gastrectomy (1). To analyze the 1- and 3- year survival rates affect by different sex, operative type, histological type, clinical stage, inflict depth, lymph node metastasis and postoperative chemotherapy. Results: The overall 1- and 3- year survival rates were 78. 6% and 48. 2% for the whole group. And the different clinical stage Ⅰ ,Ⅱ,Ⅲ, Ⅳ were 93. 3%, 80.0%, 92.3%, 69. 2%,72. 2%, 27. 8%,50.0%, 10.0% respectively. Univariate analysis showed that the predictors of survival were clinical stage, inflict depth, lymph node metastasis, distant metastasis and operative type. Multivariate analysis showed no independent factors. Conclusion: Early diagnosis and early treatment of gastric cancer can achieve maximal improvement of survival rate and quality of life.