Cancer Res Treat.  2002 Aug;34(4):247-251.

Analysis of Local Recurrence Following Proximal Gastrectomy in Patients with Upper Third Gastric Cancer

• Yoo CH
• Sohn BH
• Han WK
• Pae WK

Abstract

PURPOSE: Little is known about local recurrence following proximal gastrectomy in patients with upper third gastric cancer. We performed this study to evaluate the long-term results of a proximal gastrectomy, and to analyze the risk factors of local recurrence affecting survival in these patients.
MATERIALS AND METHODS
We undertook a retrospective study of 63 patients who underwent potentially curative proximal gastrectomy between 1990 and 1999, with special reference to local recurrence.
RESULTS
During a median follow-up period of 37 months, 25 of the 63 patients (39.7%) developed a recurrence of cancer, with local recurrence in 15 patients (23.8%), the majority of these occurring at the remnant stomach or anastomosis. The median time to local recurrence was 38 months (8~78 months). Univariate analysis of risk factors for local recurrence revealed an infiltrative or diffuse gross type, with a tumor sizes>5 cm, a distal resection margin CONCLUSION
When performing a proximal gastrectomy for upper third gastric cancer, even after curative resection, all risk factors should be considered to reduce rates of local recurrence.

Keyword

Stomach neoplasm; Proximal gastrectomy; Local recurrence; Prognosis

MeSH Terms

Diagnosis
Follow-Up Studies
Gastrectomy*
Gastric Stump
Humans
Prognosis
Recurrence*
Reoperation
Retrospective Studies
Risk Factors
Stomach Neoplasms*