Treatment results of curative gastric resection from a specialist Australian unit: Low volume with satisfactory outcomes

Thomson I.G., Gotley D.C., Barbour A.P., Martin I., Jayasuria N., Thomas J. and Smithers B.M. (2014) Treatment results of curative gastric resection from a specialist Australian unit: Low volume with satisfactory outcomes. Gastric Cancer, 17 1: 152-160. doi:10.1007/s10120-013-0240-3


Author Thomson I.G.
Gotley D.C.
Barbour A.P.
Martin I.
Jayasuria N.
Thomas J.
Smithers B.M.
Title Treatment results of curative gastric resection from a specialist Australian unit: Low volume with satisfactory outcomes
Journal name Gastric Cancer   Check publisher's open access policy
ISSN 1436-3291
1436-3305
Publication date 2014-01
Year available 2013
Sub-type Article (original research)
DOI 10.1007/s10120-013-0240-3
Volume 17
Issue 1
Start page 152
End page 160
Total pages 9
Place of publication Tokyo, Japan
Publisher Springer Japan KK
Collection year 2014
Language eng
Subject 2730 Oncology
2715 Gastroenterology
1306 Cancer Research
Formatted abstract
Background:
The incidence of gastric cancer is decreasing in Australia, yet it remains a common cause of cancer-related mortality. Surgical resection remains the cornerstone of curative treatment. High-volume specialized units have reported superior perioperative and oncological outcomes. The role of D2 lymphadenectomy has been controversial as a result of concerns over increased morbidity. Our aim is to report the perioperative and oncological outcomes of curative gastric resection from a specialist Australian upper GI unit.
Methods: Data from a prospectively maintained database were reviewed for all patients undergoing curative resection for gastric adenocarcinoma from a single unit during a 12-year period. Perioperative and long-term outcomes were compiled.
Results: There were 255 curative gastric resections during 12 years. An R0 resection was performed in 96 % with a perioperative mortality rate of 1.6 %. A D2 dissection was performed in 85 % of cases in the past 6 years, with no increase in perioperative morbidity or mortality detected. The 5-year overall survival was 53 %.
Conclusion: Our results demonstrate that both short- and long-term outcomes of surgical resection in gastric cancer patients, comparable to international high-volume centers, can be achieved in an Australian upper GI unit. A D2 lymph node dissection can be performed safely without any increase in perioperative risk in a specialist unit that has the necessary training but also the perioperative support structures to manage these complex patients.
Keyword Gastrectomy
Gastric cancer
Surgical volume
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
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