Objective:

Observation of characterization of patients with gastric cancer, evaluation of surgical outcome and survival.

Materials and methods:

Descriptive study, observational, data collected and analyzed with the statistical program SPSS version 21.

Results:

We included 358 patients, the most common symptom being epigastric pain in 72.9%. The most common macroscopic classification was Bormann III, 62.8%. In the histopathology study the intestinal type predominated, with 52.2% of the cases. In 77.9% of the patients, the operative procedure was performed by laparotomy and in 22.1% by laparoscopy. The surgical interventions performed were: total gastrectomy 36.9%, followed by subtotal gastrectomy 32.4%, gastrojejunostomy 8.9%, exploratory laparotomy 17%, diagnostic laparotomy 4.7%. Metastases in other organs were encountered in 39%. An intraoperative complication occurred only in 4.7%, and some postoperative complication in 9.1% of the patients. The average operating time was 122 minutes, the hospital stay 8,7 days; 131 patients died during follow-up, corresponding to 36.6%, and 34.1% relapsed. Chi-square test was performed, finding a statistically significant relationship between the type of surgery and the stage of the lesion (p=0.007), between the Bormann classification and mortality (p=000), the degree of differentiation (p=0.008), Borman and mortality (p=0.000). A survival curve was performed according to the Kaplan Meier method obtaining a log rank of 0.010.

Conclusions:

Gastric cancer continues to be a very common pathology in our environment. It is diagnosed in advanced stages, which makes the integral management of this pathology impossible, decreasing survival and, in many cases, the impossibility of surgical management due to the advanced tumor compromise.

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