Publication:

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

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.