Abstract
Introduction : Gastric cancer is at the forefront of digestive cancers in the surgical service in Sub-Saharan Africa. His management is however faced with the delay in diagnosis. We propose to situate the place of gastrectomy in the treatment of cancers in our context. Patients and Methods : This was a 3.5-year retrospective descriptive study that included all patients with confirmed gastric cancer. The therapeutic and pronogsis aspects were the parameters studied. Survival was appreciated by the Kaplan Meier method. Results : We have identified 68 patients including 44 men and 24 women. The average age was 55.3 ± 14. The operability and resectability rates were 69.1% and 59.6% (28/47). Laparoscopy for suspicion of peritoneal carcinomatosis prevented subsequent laparotomy in 6 cases. 4/5 gastrectomy and D1.5 dissection was performed in 18 cases (38.3%) and total gastrectomy in 2 cases. Morbidity and early mortality were 21% (n = 10) and 8.5% (n = 4) respectively, observed in older adults. The overall survival of operated patients was 35% at 1 year and 22.2% at 2 years. The 1-year survival of curative patients was better (50%) than that of patients who received palliative surgery (20%) (p = 0.04). Conclusion: The resection rate for curative purposes remains the challenge to detect early cases, and the addition of perioperative chemotherapy to improve survival. Keywords: Gastric cancer, Surgery, Survival, Souro Sanou Teaching Hospital
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