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KMID : 0914820100100040234
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Journal of the Korean Gastric Cancer Association
2010 Volume.10 No. 4 p.234 ~ p.240
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Feasibility of Gastric Cancer Surgery at Low Volume Hospitals
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Kim Ma-Ru
Park Jong-Kyung
Kim Sung-Geun
Choi Seong-Hye
Yoon Sang-Sub
Lee Seong
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Abstract
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Purpose: Most gastric cancer patients undergo operations at large tertiary hospitals in Korea. However, some patients are treated at low volume hospitals. We investigated patient outcomes after gastric surgery at a secondary hospital and compared with outcomes of large volume centers.
Materials and Methods: We included 184 patients who underwent gastric surgery for gastric cancer at our hospital from January 2003 to December 2008. We conducted a retrospective study and evaluated the clinicopathological characteristics, clinical outcomes and survival rate of patients.
Results: Mean age was 61.7 years old. Male to female ratio was 2.2 : 1. Proportion of early gastric cancer was 38.6% and that of advanced gastric cancer was 61.4%. The 5 year overall survival rate of 184 patients was 66.3%. The overall survival rate was significantly lower for people over 62 years old. The morbidity rate and mortality at our hospital were 10.3% and 0.5%, respectively.
Conclusions: The overall survival rate, morbidity and mortality were similar to those of the previous reports from Korea. Treatment of gastric cancer at a secondary hospital is feasible and safe. Standardization of operations and management of gastric cancer patients of the Korean Gastric Cancer Association is the most important factor to achieve these outcomes.
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KEYWORD
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Stomach neoplasms, General surgery, Survival, Low volume center, Reference standards
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