Gastric Cancer
Conditions
Keywords
gastric cancer, locally advanced cancers, multivisceral resections, splenectomy, pancreatectomy, colectomy
Brief summary
The goal of this observational study is to assess whether the postoperative course and survival of patients subject to multivisceral resections for locally advanced gastric cancer (cT4b) were affected by the extent of surgery. An electronic database of 1476 patients with non-metastatic gastric cancer treated between January 1996 and December 2020 will be reviewed. The main questions it aims to answer are: * Does splenectomy, distal pancreatectomy or partial colectomy affect postoperative complications * What factors affect prognosis of patients with locally advanced gastric cancer
Interventions
PROCEDUREExtent od surgical resection
Sponsors
Jagiellonian University
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Inclusion criteria
* gastric adenocarcinoma * intraoperatively suspected infiltration of surrounding organs (stage cT4bN0-3bM0) * partial or total gastrectomy
Exclusion criteria
* distant metastases (M1) * gastrectomy combined with resection of organs other than spleen, pancreas, or colon
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Complications | up to 90 days | Type and severity of complications graded by Clavien-Dindo scoring system (from 0 to 5, higher scores mean worse outcome) |
| Survival | Overall survival from surgery to death or last follow up, whichever came first, assessed up to 60 months | Overall survival |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of reoperations | up to 90 days | Reoperations |
| Length of postoperative hospital stay | Up to 6 months | Hospital stay |
| Rate of readmissions | One year from surgery | Readmission |
Countries
Poland
Outcome results
None listed