Surgical treatment of gastric cancer

Gastric cancer is a malignant disease which has generally a very bad prognosis. The frequency of occurence of this disease in the population is dependent on the age and localisation. Most frequently, this disease has occured in Japan, China, countries of South Africa and Eastern Europe for a long time but men are more likely to suffer from this disease than women witha ratio of 2 : 1.

We retrospectively evaluated the group of patients who had been treated in our complex oncology center in the course of five years

We treated 572 patients with gastric cancer in five years period. 218 patients of the total number were admitted, 185 patients of all hospitalized patients were operated (85 %). 53 patients of our group of hospitalized patients underwent adjuvant oncology therapy (24 %). Overall, five-year survival was 18.4 % in our group, the median survival time was 12.9 months.

Radical surgery is considered to be the only treatment modality which can lead to patient´s cure under optimal conditions. Complex care for patients with gastric carcinoma should be centralized in big centers. Personalized oncological treatment should be a way how to get better results (Tab. 2, Fig. 5, Ref. 14).