Published online Aug 15, 2016. doi: 10.4291/wjgp.v7.i3.283
Peer-review started: March 23, 2016
First decision: April 15, 2016
Revised: April 28, 2016
Accepted: May 17, 2016
Article in press: May 27, 2016
Published online: August 15, 2016
Processing time: 141 Days and 0.4 Hours
AIM: To determine reproducibility of perioperative chemotherapy for gastric cancer (GC) on our settings by identifying patient’s overall survival and comparing them to larger studies.
METHODS: Retrospective analysis of our series, where we present our eleven-year’s experience on GC managed according to perioperative approach of three preoperative chemotherapy cycles followed by surgery and finally three postoperative chemotherapy cycles. Chemotherapic scheme used was Xelox (Oxaliplatin and Capecitabine). Epidemiologic parameters as well as surgical variables were analysed, presented, and compared to other series with similar approaches. Survival was estimated by Kaplan Meier/log rank method and also compared to these studies.
RESULTS: Mean age was 65 years old. Overall survival in our series was 37.7%, similar to other groups using perioperative schemes. Mortality was 4% and morbidity 30%, which are also similar to those groups. Survival curves were compared to larger studies, finding similarities on them. Subgroup survival analysis between chemotherapy responders and non-responders didn’t reach statically significant differences.
CONCLUSION: Perioperative chemotherapic scheme can be reproduced on our setting with good results and without increasing morbidity or mortality.
Core tip: This is a retrospective study that evaluates and compares survival after perioperative chemotherapy on gastric cancer patients managed similarly in other settings. We confirmed reproducibility of this scheme on smaller settings than classic studies.