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Published: 2025-09-18
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DOI: https://doi.org/10.52163/yhc.v66iCD14.3072
Issue
Vol. 66 No. CĐ14-NCKH Bệnh viện Giao thông vận tải
Section
Articles
How to Cite
Kiên, T. ., Tuấn, B. S. A., Đông, Đặng T., Thiện, N. V. M., & Dương, N. V. (2025). 19. CLINICAL CHARACTERISTICS AND SURVIVAL OUTCOMES AFTER CURATIVE SURGERY FOR GASTRIC CANCER AT TRANSPORT HOSPITAL. Vietnam Journal of Community Medicine, 66(CĐ14-NCKH Bệnh viện Giao thông vận tải). https://doi.org/10.52163/yhc.v66iCD14.3072

19. CLINICAL CHARACTERISTICS AND SURVIVAL OUTCOMES AFTER CURATIVE SURGERY FOR GASTRIC CANCER AT TRANSPORT HOSPITAL

Tran Kien1, Bui Sy Anh Tuan1, Dang Thanh Dong1, Nguyen Vu Minh Thien1, Nguyen Van Duong1
1 Transport Hospital

Main Article Content

Abstract

Objective: To evaluate epidemiological, clinical characteristics, and prognostic factors after curative gastrectomy for gastric cancer at the Transport Hospital.


Methods: A retrospective cross-sectional study was conducted on 154 patients diagnosed and surgically treated for gastric cancer between January 2020 and November 2024. Demographic, clinical, laboratory, and pathological data were collected. Survival was analyzed using Kaplan–Meier and multivariate Cox regression to identify prognostic factors.


Results: The mean age was 61.7 ± 9.8 years, with 66.2% male patients. Most cases were diagnosed at advanced stages (II–III). Poor general condition (ASA ≥3), low serum albumin, and preoperative anemia were significantly associated with higher postoperative complications and shorter survival (p<0.05). Cox regression confirmed disease stage and nutritional status as independent prognostic factors. No 30-day mortality was observed, and the overall complication rate was 14.3%.


Conclusion: Disease stage and general condition remain the strongest prognostic indicators in gastric cancer patients. Curative surgery is safe and effective in this setting; however, early detection and preoperative nutritional optimization are essential to improve long-term outcomes.

Article Details

References

[1] Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229–263.
[2] Global Cancer Observatory. Vietnam fact sheet. IARC; 2022. Available at: https://gco.iarc.who.int/ (accessed 2024).
[3] Choi Y, Kim N, Kim KW, et al. Gastric Cancer in Older Patients: A Retrospective Study and Literature Review. Ann Geriatr Med Res. 2022;26(1):33–41.
[4] Zhou CJ, Chen FF, Zhuang CL, et al. Feasibility of radical gastrectomy for elderly patients with gastric cancer. Eur J Surg Oncol. 2016;42(2):303–311.
[5] Lim JH, Lee DH, Shin CM, et al. Clinicopathological features and surgical safety of gastric cancer in elderly patients. J Korean Med Sci. 2014;29(12):1639–1645.
[6] Choi Y, Kim N, Kim KW, et al. Gastric Cancer in Older Patients: A Retrospective Study and Literature Review. Ann Geriatr Med Res. 2022;26(1):33–41
[7] Sung H, Ferlay J, Siegel RL, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229–263.
[8] Global Cancer Observatory. Vietnam fact sheet. IARC; 2022. Available at: https://gco.iarc.who.int/(accessed 2024).
[9] Suematsu H, Kunisaki C, Miyamoto H, et al. Laparoscopic total gastrectomy for gastric cancer in elderly patients. In Vivo. 2020;34(5):2933–2939.