Sacko O, Soumaré L, Camara A, Camara M, Koumaré S, Keita S, Koita A, Goita D, Kamaté C, Sanogo ZZ, Sangaré D. [Treatment of malignant gastric tumors in the surgery "a" department of the Point G teaching hospital: 84 cases].
Mali Med 2014;
29:55-58. [PMID:
30049117]
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Abstract
OBJECTIVE
To evaluate the short-term results of the treatment of malignant gastric tumors.
PATIENTS AND METHODS
A 3-year retrospective study from january 2007 to december 2010 was conducted in the Surgery "A" department of the Point G Teaching Hospital. The clinical records of 84 patients with gastric cancers were collected. Included in this study were patients who underwent surgery for malignant gastric tumors confirmed by histology. Patients who did not undergo surgery and those who presented tumors of the cardia were not included in this study.
RESULTS
The treatment consisted of a subtotal gastrectomy with ganglionic curettage taking out the first and the second relays in 33 patients (39.28%), total gastrostomy in 3 patients (3.57%), and the remaining 48 patients (57.14%) underwent gastro-entero anastomosis. Morbidity was 10.7%, represented by 7 cases of parietal suppuration and 2 cases of evisceration. Mortality rate was 11.11%, due to poor general condition of the patients. The global 1-year survival rate was 36.9%. The one and two-year survival rates after subtotal gastrostomy were 93.9% and 75.75%, respectively. No survival case was noticed one year after total gastrectomy and gastric enteric anastomosis.
CONCLUSION
Partial gastrectomy with ganglionic curettage when possible associated with an early diagnosis could allow a sharp improvement of the gastric tumors' survival rate.
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