Revista ABCd (São Paulo). 31 Jan, 2022

SALVAGE SURGERY IN GASTRIC CANCER

Italo Beltrão Pereira SIMÕES
Marina Alessandra PEREIRA
Marcus Fernando Kodama Pertille RAMOS
Ulysses RIBEIRO JUNIOR
Bruno ZILBERSTEIN
Sergio Carlos NAHAS
Andre Roncon DIAS
DOI: 10.1590/0102-672020210002e1629

BACKGROUND:

Salvage surgery (SS) is defined as surgical resection after the failure of the first treatment with curative intent.

AIM:

The aim of this study was to report the experience of a reference center with SS for stomach adenocarcinoma.

METHODS:

This is a retrospective study of patients with gastric cancer (GC) operated on between 2009 and 2020.

RESULTS:

Notably, 40 patients were recommended for salvage gastrectomy with curative-intent treatment. For analysis purpose, patients were divided into two groups: 23 patients after endoscopic resection and 17 patients after gastrectomy. In the first group, all patients underwent R0 resection, their average hospital length of stay (LOS) was 15.7 days, and 2 (8.6%) patients had major complications. During the average follow-up of 37.2 months, there was only one recurrence. The median overall survival (OS) was 46 months. In the postgastrectomy group, 9 (52.9%) patients were rescued with curative intent, the average hospital LOS was 12.2 days, and 3 (17.6%) had major complications. In a mean follow-up of 22 months, five patients relapsed. Median OS and disease-free survival were 24 and 16.5 months, respectively.

CONCLUSION:

SS in GC offers the possibility of long-term disease control and increased survival rate with an acceptable complication rate.


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