Fukuda N, Sugiyama Y, Wada J. Prognostic factors of T4 gastric cancer patients undergoing potentially curative resection. World J Gastroenterol 2011; 17(9): 1180-1184 [PMID: 21448423 DOI: 10.3748/wjg.v17.i9.1180]
Corresponding Author of This Article
Naoto Fukuda, MD, Department of Surgery, Teikyo University School of Medicine University Hospital, 3-8-3 Mizonokuchi, Takatsu-ku, Kawasaki 213-8507,Japan. nf341206@hotmail.co.jp
Article-Type of This Article
Brief Article
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Mar 7, 2011; 17(9): 1180-1184 Published online Mar 7, 2011. doi: 10.3748/wjg.v17.i9.1180
Table 1 Patient characteristics
Variables
n (%)
Age
≤ 68
31 (43.7)
> 68
40 (56.3)
Gender
Male
53 (74.6)
Female
18 (25.4)
Tumor location
Upper 1/3
7 (9.9)
Middle 1/3
28 (39.4)
Lower 1/3
21(29.6)
Tumor size (mean, mm)
20-205 (84)
Type of gastrectomy
Proximal
3 (4.2)
Distal
35 (49.3)
Total
33 (46.5)
Lymph node involvement
Positive
61 (85.9)
Negative
10 (14.1)
Histological type
Differentiated
31 (43.7)
Undifferentiated
40 (56.3)
Table 2 Postoperative complications
Patients (n = 71)
%
Morbidity
19
26.8
Pancreatic fistula
6
8.5
Anastomosis stricture
5
7.0
Anastomosis leakage
3
4.2
Cholecystitis
3
4.2
Abdominal abscess
2
2.8
Ileus
1
1.4
Mortality
3
4.2
Table 3 Clinicopathological factors and univariate survival analyses
n
5-yr survival (%)
P
Age (mean: 68.9)
≤ 68
31
45.5
0.415 (NS)
> 68
40
26.2
Gender
Male
53
31.0
0.510 (NS)
Female
18
50.1
Tumor diameter (mm, mean: 84)
≤ 84
39
34.4
0.213 (NS)
> 84
32
33.9
Histological type
Differentiated
31
18.6
0.565 (NS)
Undifferentiaed
40
40.7
Number of lymph node meta
N0 or N1
19
67.4
< 0.05
N2 or N3
52
23.8
MLR (mean: 0.27)
≤ 0.27
46
38.9
0.083 (NS)
> 0.27
25
20.7
Lymphatic invasion
ly0 or ly1
17
49.3
0.453 (NS)
ly2 or ly3
54
29.7
Venous invasion
v0 or v1
53
45.7
< 0.05
v2 or v3
18
9.7
Peritoneal washing cytology
Negative (CY0)
44
47.6
< 0.01
Positive (CY1)
27
15.2
Table 4 Multivariate analysis
Hazard ratio
95% CI
P
Number of LN meta
1.3104
0.4075-4.2137
0.6501
Venous invasion
0.9642
0.3335-2.7882
0.9464
Peritoneal washing cytology
3.6262
1.3743-9.5683
< 0.01
Citation: Fukuda N, Sugiyama Y, Wada J. Prognostic factors of T4 gastric cancer patients undergoing potentially curative resection. World J Gastroenterol 2011; 17(9): 1180-1184