Title: Factors Determining Outcome in Multivisceral Resection for Gastric Cancer – A South Indian Tertiary Care Centre Observational Study

Authors: Rajasekaran Karuppiah, Prabhakaran Raju, Chandrabose Ambedkar, Villlalan Ramasamy, Chandramohan SM,  Rajendran Shanmugasundaram, Naganath Babu O.L

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i7.182

Abstract

Background

Gastric cancer is one of the leading cause of cancer related deaths. In India, Chennai, has a very high incidence of 11.8/100000 among males and 5.9/100000 among females. The resectability rate for gastric cancer is about 40 – 50 %. The reason for inoperability are locally advanced disease involving other organs, peritoneal metastasis, liver metastasis and distant metastasis. Locally advanced gastric cancer and limited peritoneal disease can be taken for multivisceral resection with curative intent. But evidence for such a radical procedure is debatable. While some studies indicate a trend towards increased perioperative mortality, others show a better long term outcome. In this background we have set out to analyse the outcome of patients with gastric cancer patients undergone MVR in our centre.  .

Aim of the Study

To analyse the factors influencing outcomes following multivisceral resection for gastric cancer. Secondary endpoint is to analyse the R status and N status and the extent of adjacent organ involvement  in determining the outcome.

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Corresponding Author

Prabhakaran Raju

Senior Assistant Prof, Institute of SGE, Govt. Stanley Medical College, Chennai (Former Assistant Prof. in Madras Medical College)