Impact of surgical procedure for gastric cancer on quality of life

Liaño, Álvaro Díaz de; Martínez, Fabiola Oteiza; Ciga, M. A.; Aizcorbe, M.; Cobo, Francisco; Trujillo, R.

doi:10.1002/bjs.4011

Cited by 52 publications

(41 citation statements)

References 11 publications

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“…There have been studies comparing the QoL of gastric cancer patients after distal subtotal gastrectomy and total gastrectomy [18][19][20]. In the early postoperative period, patients who underwent distal subtotal gastrectomy experienced better QoL than patients who underwent total gastrectomy, but the QoL benefits of distal subtotal gastrectomy were lost as time elapsed.…”

Section: Discussionmentioning

confidence: 99%

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

et al. 2011

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Background The aim of this study was to compare the quality of life after the early postoperative period and before reaching 5 years postoperatively between patients who underwent laparoscopy-assisted distal gastrectomy (Group A) and patients who underwent open distal subtotal gastrectomy (Group B). Methods The Korean versions of the European Organization for Research and Treatment (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) and a gastric cancer-specific module, the EORTC QLQ-STO22, were used to assess the quality of life of 80 patients who underwent laparoscopy-assisted distal gastrectomy or open distal subtotal gastrectomy for gastric cancer. The postoperative period ranged between 6 months and 5 years. Results The global health status/quality of life scores of Groups A and B were 56.0 ± 19.0 and 57.4 ± 18.2, respectively (p = 0.729). Group A experienced worse quality of life in role functioning (p = 0.026), cognitive functioning (p = 0.034), fatigue (p = 0.039), eating restrictions (p = 0.009), and anxiety (p = 0.033). Group A showed a trend to experience worse quality of life in physical functioning, emotional functioning, social functioning, insomnia, and body image, albeit without statistical significance. Conclusion After the early postoperative period and before achieving long-term survival, patients who underwent laparoscopy-assisted distal gastrectomy appeared to experience lower quality of life compared to patients who underwent open distal subtotal gastrectomy. This finding may be associated with the patients' erroneously high expectations of laparoscopy-assisted distal gastrectomy.

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Section: Discussionmentioning

confidence: 99%

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

et al. 2011

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“…Jentschura et al [9] and Gockel et al [13] found that patients who underwent subtotal gastrectomy displayed better physical functions, while emotional status and social activities did not differ significantly. On the contrary, Diaz De Liano et al [21] found that the QoL in patients undergoing curative surgery for gastric cancer, regardless of age, was not significantly influenced by type of gastrectomy or whether lymphadenectomy was performed. Thybusch-Bernhardt et al [22] found that the global health status was not negatively influenced by D2 lymphadenectomy and extended gastrectomy, rather, patients with splenectomy were evidently more affected.…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Disease-Free Gastric Adenocarcinoma Survivors: Impacts of Clinical Stages and Reconstructive Surgical Procedures

et al. 2007

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Aim: To investigate health-related quality of life data of disease-free gastric adenocarcinoma survivors, with special emphasis on the roles of clinical stages and reconstructive surgical procedures. Methods: We performed a cross-sectional study in 51 disease-free gastric adenocarcinoma patients. The patients had been followed for at least 6 (median 17, range from 6 months to 2 years) months after initial radical surgery. The Taiwan Chinese version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Cancer 30 (EORTC QLQ-C30) and the supplementary gastric cancer module QLQ-STO22 were used as outcome measures. Results: Patients with earlier-/advanced-stage diseases (American Joint Committee on Cancer stages I and II vs. III and IV) had a similar quality of life in terms of global health status and functional and symptomatic well-being. Subtotal gastrectomy outweighed total gastrectomy with better role function and less nausea/vomiting and appetite loss. Multivariate regression analyses also proved that proximal gastric preservation was predictive of better role function, less nausea/vomiting, and less appetite loss. Conclusions: Gastric adenocarcinoma survivors may enjoy a similar life quality, regardless of their original disease stages. Functional preservation may have marginal advantages to improve patients’ quality of life by reducing symptomatic nausea, vomiting, and appetite loss postoperatively.

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“…This should depend on the size, type and location of the tumour. The QoL in TG patients is worse than those when SG is used [10,11].…”

Section: The Extent Of Resectionmentioning

confidence: 84%

Surgical treatment of gastric cancer: then and now

Olesiński

2017

Nowotwory. Journal of Oncology

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Gastric cancer is one of the most commonly diagnosed cancers found in the world (980,000 new cases in 2008), but its treatment outcomes are poor, particularly in the European Union (EU); only a 25% survival after 5 years. Despite advances made in combination therapy, the only effective treatment that remains is surgery. The extent of gastric resection and lymphadenectomy, along with reconstruction methods, have systematically evolved over the last 100 years. This paper discusses both present day recommendations and the pathways that were taken enabling modern gastric surgery to develop. NOWOTWORY J Oncol 2016; 66, 5: 408-414

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Impact of surgical procedure for gastric cancer on quality of life

Cited by 52 publications

References 11 publications

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

Quality of life beyond the early postoperative period after laparoscopy-assisted distal gastrectomy: the level of patient expectation as the essence of quality of life

Quality of Life in Disease-Free Gastric Adenocarcinoma Survivors: Impacts of Clinical Stages and Reconstructive Surgical Procedures

Surgical treatment of gastric cancer: then and now

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