Outcomes after completion total gastrectomy for gastric remnant cancer: experience from a Canadian tertiary centre

St-Louis, Etienne; Gowing, Stephen; Mossallanejad, Pedram; Leimanis, Mara L.; Mueller, Carmen L.; Ferri, Lorenzo

doi:10.1503/cjs.008417

Cited by 5 publications

(2 citation statements)

References 34 publications

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“…As in PGC, surgery resection with regional D2 lymphadenectomy is the cornerstone of RGC treatment. Adhesion to adjacent organs and displacement of anatomical structures are common challenges during the surgery, making it longer and more likely to combine other organs during repair or resection[ 10 , 23 , 27 , 30 ]. However, it remains uncertain whether RGC resection has higher postoperative morbidity and mortality rates.…”

Section: Discussionmentioning

confidence: 99%

“…Other Western reports have more cases; however, they are multicenter studies and had an inclusion period of more than 20 years. This may affect the outcome analyses, since recent improvements in adjuvant treatments as well as perioperative care were not yet incorporated[ 10 , 27 , 28 , 30 , 37 ]. To ensure the homogeneity of the study population, we excluded patients with previous resection for malignant disease.…”

Section: Discussionmentioning

confidence: 99%

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Remnant gastric cancer: An ordinary primary adenocarcinoma or a tumor with its own pattern?

Ramos¹,

Pereira²,

Dias³

et al. 2021

WJGS

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BACKGROUND Remnant gastric cancer (RGC) is defined as a tumor that develops in the stomach after a previous gastrectomy and is generally associated with a worse prognosis. However, there little information available regarding RGCs and their prognostic factors and survival. AIM To evaluate the clinicopathological characteristics and prognosis of RGC after previous gastrectomy for benign disease. METHODS Patients who underwent curative resection for primary gastric cancer (GC) at our institute between 2009 and 2019 were retrospectively evaluated. All RGC resections with histological diagnosis of gastric adenocarcinoma were enrolled in this study. Primary proximal GC (PGC) who underwent total gastrectomy was selected as the comparison group. Clinical and pathological data were collected from a prospective medical database. RESULTS A total of 41 patients with RGC and 120 PGC were included. Older age ( P = 0.001), lower body mass index ( P = 0.006), hemoglobin level ( P < 0.001), and number of resected lymph nodes resected (LN) ( P < 0.001) were associated with the RGC group. Lauren type, pathological tumor-node-metastasis, and perioperative morbimortality were similar between RGC and PGC. There was no difference in disease-free survival ( P = 0.592) and overall survival ( P = 0.930) between groups. LN status was the only independent factor related to survival. CONCLUSION RGC had similar clinicopathological characteristics to PGC. Despite the lower number of resected LN, RGC had a similar prognosis.

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