Analysis of survival in subtotal gastrectomy by gastric cancer. Concepcion, Chile
Journal Title: Ciencia e Investigación Médica Estudiantil Latinoamericana - Year 2006, Vol 11, Issue 2
Abstract
[b]Introduction:[/b] The Gastric Cancer represents a serious problem to the chilean public health, becauseit represents one of the principal cause sof death, being the most important malignant tumours. With local Disease, the five years survival on patients with gastric cancer it is 10% to 15%. The intention of our investigation is to analyze the associated factors in the survival of patients to subject subtotal gastrectomy for gastric cancer during 10 years at the Hospital Clínico Regional Concepción. [b]Material and Methods: [/b]Non-concurrent longitudinal study. By means of clinical stories, we studied 52 patients with Gastric Adenocarcinoma who were operate consecutively. The 100% of the patients were followed. The survival was analyze by Kaplan-Meier method and evaluate to 5 years. To compare survival curve, we used Log Rank Test (Mantel-Cox) or Breslow Test. We consider p<0,05 (C.I. 95%). [b]Results:[/b] Men 25 (48.1%), women 27 (51.9%) ; average age 60.85 (DS=±13.9) years old; distal third 90.4%, middle third 9.6%; 39 advanced cancer, 13 early cancer; 10 (19.2%) patients has not lymphatic metastases; average postoperative hospital stay was 11 days (DS=±4.91); operative mortality 3.8%. Global 5 years survival was 48,3%; according to serous invasion: without invasion 70.0%, with invasion 32.2% (p=0.036); according to lymphovascular invasion: positive 30.6%, negative 71,6% (p=0.003); according to stage: I 72.2%, II 53.6%, III 40.6% and IV 25.0%, I v/s p=0.041; according postoperative complications: with complications 26.8%, without these 56,0% (p=0.017). [b]Conclusions:[/b] The global survival was 48.3%, and its decrease is related with serious invasion, lymphovascular invasion positive, advanced stage and postoperative complications.
Authors and Affiliations
Bruno Caselli, Juan Cabrera, Héctor Molina
Keywords
Related Articles
- EP ID EP84281
- DOI -
- Views 163
- Downloads 0
Women’s experiences of vaginal examinations during labour<br />
[b]Objective:[/b] To describe the women’s perception of vaginal examination during labor. [b]Design:[/b] Transverse and analytical study. [b]Setting:[/b] Mother-Infant Teaching National Hospital San Bartolomé. [b]Patient...
Variations of the thoracic duct on its termination
[b]Introduction: [/b]The thoracic duct is the collector trunk of all the lymphatic vessels, excepts for the right half of the head, neck and thorax. It begins in the superior part of the abdominal cavity, crossing the di...
Inmunodeficiencia primaria con déficit del crecimiento: rol de la STAT5b
Se analiza la alteración de la proteína STAT5b (Signal transducers and activatiors of transcription) que produce activación intracelular y media la acción de hormona de crecimiento (GH) y citoquinas, como Interleucina 2...
Vesicular volvulus, as a cause of acute abdominal pain: review a propose of a clinical case
Vesicular volvulus is a rare clinical entity, difficult for diagnosis on preoperatory circumstances. We present the case of a 74 year old patient, born and raised in Mérida. Patient comes to service with diffuse acute ab...
Efecto protector del Aloe vera (sábila) en lesiones gástricas inducidas con etanol en ratas
[b]Objetivo:[/b] determinar el efecto citoprotector del gel de [i]Aloe vera [/i]sobre la mucosa gástrica y compararla con la del sucralfato en animales de experimentación. [b]Diseño:[/b] estudio experimental. [b]Lugar: [...