The Relationship Of Gastric Cancer Radical Surgery Patients 5 Years Survival Among Pathologic Staging And Cleaning Lymph Node Number In

Objects:The retrospectively study was carried out about those gastric cancer patients ’lifespan over than 5 years after operation, and the relationships between the 5-year survival rate of gastric cancer radical surgery patient’s with pathologic staging and the number of cleaning lymph node were analyzed.Methods:A total of 289 patients with gastric cancer radical surgery were recruited sequentially at the General surgery inpatient service of the Peace Hospital affiliated to Changzhi medical school in Shanxi Province from Mar 2007 to Sep 2009, and 264 were followed up successfully(not including the patients with Gastric palliative resection surgery, The stomach-jejunum anastomosis, Jejunostomy surgery, etc). We read the patients’ medical records, especially the operation records and postoperative pathology report data. The patients were grouped according to the pathological staging(reference 14 edition Japan stomach cancer treatment statutes) and lymph node cleaning number intra-operative. We followed-up and statist iced the 5-year survival rate of those patients by variety ways. The relationship were analyzed by statistical software between 5-year survival rate with the pathologic staging and number of lymph node cleaning in the patients with radical Gastrectomy.Results:1. 126 gastric cancer patients survived 5 years or longer after surgery among the264 successfully followed up and the total 5-year survival rate was 46.32%. 2. The5-year Survival rate in pathologic staging I(76.7%) of gastric cancer patients is significantly higher than the pathologic staging II(49.2%), III(37.6%) and IV(26.2%). No statistical significance was found among the staging II, III IV patients. 3. The survival ratesof staging I, II, III but not staging IV patients significantly improved when the cleaning lymph node number more than 15 in the same stage patients(P<0.05).Conclusions:1. After the gastric cancer radical surgery, the Clinicians should assess the patient’s prognosis. The survival rate of stage I is as high as 76.7%, while the assess of the stage II,III IV patients should comprehensive consideration, such as: lymph node metastasis, tumor borrmann type, scope of tumor growth and metastasis of lymph nodes and other factors.2. The quantity of cleaning lymph node need to be guaranteed in the stage I, II, III patients, and should be greater than 15.As the distant metastases always occur in the patients with pathological stage IV, the general prognosis is poor and the total number of cleaning lymph nodes has a little influence to the 5-year survival rate.