Treatment results for stage IV gastric cancer patients

Treatment results for stage IV gastric cancer patients treated at the Southern-Kazakhstan Regional Oncological Clinic during the period from 2003 to 2007 have been presented. One hundred patients underwent palliative surgery, 49 (49 %) of them underwent cytoreductive subtotal distal gastric resection, 31 (31 %) cytoreductive gastrectomy and 20 (20 %) cytoreductive proximal gastric resection. Postoperative lethality was 13 %. Sixty-one patients (61 %) received systemic polychemotherapy following surgery. The 3-year survival rate was 3,3 and 3,8 times higher after distal subtotal resection than after gastrectomy and proximal resection, respectively. The 5-year survival rate was 6,1 % after cytoreductive distal subtotal gastric resection. Patients who underwent cytoreductive distal subtotal gastric resection received up to 4 cycles of systemic chemotherapy.