Stomach Neoplasms
Conditions
Keywords
Gastric cancer, gastrectomy, R1, positive margins, recurrence, overall survival, prognosis
Brief summary
Incidence of positive surgical margins after curative gastrectomy ranges from 1% to 20%. It has been suggested that positive surgical margins is an adverse prognosis factor, with a higher local recurrence and worse overall survival (OS). However, the management of these patients remains unclear.
Interventions
The primary aim of this study was to evaluate the influence of positive margins on the tumour's recurrence and OS after gastrectomy for GC. The secondary outcome was to analyse the possible confounding factors that could affect the recurrence and OS after gastrectomy.
Sponsors
Study design
Eligibility
Inclusion criteria
* all consecutive patients who underwent an oncological gastrectomy due to gastric cancer, between January 2010 and December 2018 at Ramon y Cajal University Hospital.
Exclusion criteria
* distant disease (including patients with positive cytology), early postoperative mortality (within 30 days after surgery) and follow-up data not available. Resections in patients with palliative intent were also excluded.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| evaluate the influence of positive margins on the tumour's recurrence and OS after gastrectomy for GC | 8 years |
Secondary
| Measure | Time frame |
|---|---|
| The secondary outcome was to analyse the possible confounding factors that could affect the recurrence and OS after gastrectomy. | 8 years |