Clinicopathological profile and operative outcomes of gastric cancer patients in Kashmir: a high incidence area

Abstract

Background: The objective of the present study was to analyse the demographic, clinicopathological and perioperative outcome of patients undergoing D2 gastrectomy in a high-volume tertiary care hospital in Kashmir a high incidence area.Methods: A total of 89 gastric cancer patients operated in the department of surgical gastroenterology, SKIMS, Kashmir, from January 2018 to December 2021 were included. A standardized D2 lymphadenectomy with spleen/pancreas preservation was performed.Results: Most of the patients in our study were elderly males and the mean age of patients in our series was 60.12±9.4. Majority of the patients in this study had stage III (91%) disease. Nodal involvement (N2, N3) was seen in 66% of patients. The average blood loss during operation was (380.23±48.53 ml) in our patients. The mean number of harvested lymph nodes was (26.6±10.1) with the range of (12-40). Mean operative time was (180±32.58 min). Average hospital stay was (8±2.46 days) in this series.Conclusions: Data from our study suggests that D2-gastrectomy when performed by skilled team in high volume centre like SKIMS is safe and should be the standard of care for gastric cancer for improved outcome.

Clinical profile and treatment outcome in gastrointestinal cancer patients: a single-center experience in Kashmir valley, India

“…Hepatobiliary cancers only comprised of six cases but other studies based on population based registers have estimated higher incidence for Hepatobiliary cancer. 23,24 The higher mortality and rapid progression in hepatobiliary cancers may be a reason for under representation of these cases in our study. The participants were managed using the approved hospital protocol based on staging and other patient characteristics which included a combination of surgical resection, adjuvant chemotherapy and adjuvant radiotherapy.…”