TITLE:
Stomach Cancer in the General Surgery Departement at the Teaching Hospital Gabriel Toure
AUTHORS:
Madiassa Konate, Amadou Traore, Moussa Samake, Abdoulaye Diarra, Idrissa Tounkara Boubacar Karembé, Amadou Bah, Boubacar Yoro Sidibé, Tany Koné, Amadou Maiga, Zakari Saye, Sana Kouriba, Arouna Doumbia, Ibrahim Diakite, Bakary T. Dembelé, Alhassane Traore, Lassana Kante, Adegné Togo
KEYWORDS:
Cancer, Stomach, Surgery, Survival
JOURNAL NAME:
Surgical Science,
Vol.13 No.4,
April
14,
2022
ABSTRACT: Introduction: Stomach cancer is a malignant
tumor developed at the expense of the
gastric wall. Gastric cancer is a common cancer occupying the 5th rank of
cancers in the world, or 5.7% of all cancers. Purpose: To study epidemiological, diagnostic,
therapeutic, and prognostic aspects of stomach cancer. Methodology: This was a retrospective and prospective study, which was carried out in the General Surgery Department at the teaching hospital Gabriel Touré
between January 1, 1999, and December 31, 2020, and all cases of stomach cancer were confirmed by histological examination. Result: We recorded 857 cases of stomach cancer or 40.1%
of digestive cancers. The sex ratio was 1.6. The average age was 55 years ± 13
years. The main clinical signs were epigastralgia (98.6%), vomiting (93.34%),
weight loss (96.03%), and anorexia (46.1%). It was adenocarcinoma
(97.55%), and antropyloric location (78.64%).
Patients were Stage IV (72.817%) cases. Among the 857 patients, 722 were operated on, accounting for 84.25% of the cases. Surgery was palliative in
60.66% and curative in 25.62%. Gastrectomy of 4/5 plus D2 type curage was the
most performed in curative surgery. The median overall postoperative survival
was 5 months. Conclusion: Stomach cancer is the most common digestive
cancer in our department, the diagnosis is most often late, so palliative surgery occupies an important place.