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Updated: Jun 8, 2026
Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
Published on: October 31, 2025
Long-term results following potentially curative gastrectomy for gastric cancer
A-A K Tentes1, O Korakianitis, D Kyziridis
1Department of Surgery, Didimotichon General Hospital, Didimotichon, Greece. atentes@did-hosp.gr
Purpose:
The purpose of this study was to report the results of gastric cancer surgery in patients who had undergone potentially curative gastrectomy.
Methods:
The hospital mortality, morbidity, survival, recurrences and the sites of failure were retrospectively analyzed in D1 group (conventional gastrectomy), and in D2 group (extended lymph node resection).
Results:
D1 and D2 groups were comparable for age, gender, American Society of Anesthesiologists (ASA) class, type of surgery, and histopathologic characteristics (p>0.05). D2 group patients were in better physical status (p=0.008). The recurrence rate was higher in D1 group (p=0.019). Independent prognostic indicators of morbidity were male gender (p=0.012), and poor ASA class (p<0.001). Poor ASA class was the single independent prognostic indicator of hospital mortality (p=0.001). Ten-year survival for D1 and D2 was 44.1 and 64.8%, respectively (p=0.0433). D2 gastrectomy improved survival in stage IIIA. The independent prognostic indicators of survival were total gastrectomy (p=0.003), lymph node involvement (p<0.0001), and extended lymphadenectomy (p=0.003). The independent prognostic variables of recurrence were stage (p=0.001), and extended lymph node resection (p=0.006).
Conclusion:
D2 gastrectomy improves survival in gastric cancer, particularly in stage IIIA.
