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The journal «ONCOSURGERY» 2013, Vol.5, No 1

Quality of life after functionally-sparing surgical treatment of patients with gastric cancer

Kulikov YeP, Mertsalov SA, Kaminsky YuD

Ryazan State Medical University named after IP Pavlov, Department of Oncology with Diagnostic Radiology Course, Ryazan, Russia
Contact: Kulikov Yevgeniy Petrovich, e-mail:

Any operation for cancer pathology should be functional to ensure high enough quality of life, which dictates the need to find the best options of surgery. Indications for gastric resection with preservation of the pylorus for cancer are tumor stage T1-2N0-1M0 with exophytic or mixed forms of growth, not exceeding 3 cm in diameter, located in middle third of stomach body.

Purpose: quality of life comparison between patients with gastric body cancer after resection of the stomach with pylorus preserving and gastric resection by Billroth-1.

Materials and methods. Study group included 40 patients after gastric resection with preservation of the pylorus. Female – 15 (37.5%), male – 25 (62.5%). The average age of patients at the time of examination was 64.8 years (from 44 to 84 years). Time after surgery from 6 month to 21 years (average – 9.1 year). Control group included 30 patients after subtotal distal gastric resection by Billroth-1. Both groups were comparable in terms of disease stage, age and sex of patients, comorbidities. Quality of life was evaluated using a modular questionnaire EORTC QLQ-C30 STO-22 version 3.0.

Results. Such quality of life measures as physical and emotional well-being, loss of appetite, dysphagia, pain, reflux, anxiety were higher in the study group than in the control group.

Conclusion. Patients after gastric resection with preservation of the pylorus for cancer have higher quality of life than patients after gastric resection by Billroth-1.

KEY WORDS: gastric cancer, quality of life, gastric resection with preservation of the pylorus.

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