Abstract

AIM: Topresentour lO-year experience in the surgical treatment of gastric cancer. MATERIAL AND METHOD: Between January 1998 and December 2008, 172 patients with diagnosis of gastric cancer were evaluated retrospectively. Deaths a month after operations were accepted unrelated to operation. Median follow up was 46 moths (37-65). The affect of age, tumor localization, tumor size, lesiontype, lymph metastasis and operation type were correlated with the 5 years survival. FINDINGS: Of these patients, 135 were male, 47 were female, and the mean age was 58,3. 34 cases were accepted as inoperabl. 138 cases were treated by surgery whether subtotal (60 patients) or total (78 patient) gastrectomy TNM stage distribution was 18 cases in I, 76 casesin Il, 17 casesin III and 27 casesin IV. There wasno operative mortality within a month 28 patients (20.3 percent) were underwent reoperation for anastomôsis leakage (15 çases), for reflı: ıx gastritis (10 cases) and hemorrhage (3 cases). Average follow-up period was46 months (37-65). CONCLUSION: Five year survival was 28.3 percent in subtotal gastrectomy group, 16.7 percent in totalmastectomy group and null in inoperable group. Lyniph node metastazis, total gastrectomy, proximallocation, inacroscopic type (polypoid) and tumor size over 6 cm were positively correlated with poor survival (p<0,05).