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RESULTS OF OPEN SURGERY FOR ADVANCED GASTRIC CARCINOMA AT HA NOI MEDICAL UNIVERSITY HOSPITAL
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Abstract
Objectives: Describe clinical and paraclinical characteristics and outcome assessment for late-stage gastric cancer by open surgery for gastric carcinoma at the Department of General Surgery - Hanoi Medical University Hospital. Methods: Retrospective descriptive study analyzed 35 patients who were definitively diagnosed with gastric cancer and underwent open gastrectomy at the Department of General Surgery - Hanoi Medical University Hospital from January 2022 to December 2023. Results and discussion: The mean age of the study group was 64.71 ± 13.39, the lowest: 39 years old, the highest: 91 years old. The most common age group was over 60 years old, accounting for 68.57%. Males were more frequently than women, with a male/female ratio of 1.92/1. Epigastric pain was the most common symptom observed in 85.71% of cases. The mean operative time was 153.94 ± 60.63 minutes. Distal gastrectomy was the most frequently performed procedure, accounting for 68.57% of cases, whereas extended gastrectomy was required in 8.57% of patients. The majority of cases underwent gastrointestinal reconstruction was predominantly achieved using the Finsterer method. The mean number of lymph nodes dissected during surgery was 33.35 ± 14.32 (9-69 nodes). The mean number of metastatic lymph nodes was 10.16 ± 9.33, including a mean of 6.48 ± 5.63 metastatic nodes in the first station and 3.88 ± 4.72 metastatic nodes in the second station. The estimated overall survival (OS) was 29.89 ± 1.41 months, CI95% [21.13–32.65], and the disease-free survival (DFS) was 8.88 ± 2.08 months, CI95% [4.81-12.95]. Conclusions: Gastric cancer symptoms are not specific, and the rate of patients diagnosed at a late stage is still high. Open gastrectomy and lymph node dissection are often used in advanded gastric cancer or cases with complications that cannot be treated by laparoscopic surgery. This is a safe surgery with a very low rate of postoperative complications and prolongation of survival times
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Keywords
Advanced gastric cancer, radical surgery, long-term results
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