Analysis Of Prognostic Factors For Patients With Gastric Cancer After Resection

Objective：To survey the survival status of gastric cancer patients of Han andUighur in Xingjiang after resection and to evaluate prognostic factors in these patients. Methods：The clinical data for164patients with gastric cancer who underwentresection from2003to2009in our hospital were followed up were retrospectively reviewed.The life table,Kaplan-Meier and Cox proportional hazard analyses wereused to evaluate the survival status of these patients. Results：A total of82patients died.The median follow-up time was28.0mo,and the1,3and5year survival rates were79.1％,42.3％and6.7％, The median survival time was40.10mo; Univariate analysis indicated that Gender,ethnicity,TNM stage, depth of invasion, lymph node metastasis, the omentum metastasis, differentiation, tumor location, cut-side residues,tumor size, vascular invasion and post-operative treatment were significant predictorsof the prognosis in these patients(P＜0.05);Multivariate analysis showed that omentum metastasis((P＜0.001,RR=8.102), lymph node metastasis(P＜0.001,RR=3.711), cut-side residues(P＜0.001,RR=3.166), ethnicity(P=0.017,RR=3.198), depth of invasion(P=0.027，RR=2.025) and tumor location(P＜0.001,RR=0.681)were independent prognostic factors in these patients(P＜0.05).Conclusion：The prognosis of patients with gastric cancer after resection is poor. omentum metastasis, lymph node metastasis, cut-side residues,ethnicity, depth of invasion, cut-side residues and tumor location were the most important prognostic factors for gastric carcinoma after surgical resection．...