Surgery for Gastric Adenocarcinoma with Hospital Stay: A Prospective Study

Abstract

Background: With the new changing lifestyles and the control if infectious diseases, cancer is soon emerging
to be one of the leading causes of deaths in developing countries like India. Surgical procedure shows
improvement in survival period for a patient at stage II and III after correcting the nutritional status of the
patients. There is a decline in post-operative complication with patients who underwent surgery. Hence this
study was undertaken to study the curative and palliative surgeries in the patients of gastric adenocarcinoma
and their hospital stay.
Methodology: This was a prospective study in which 50 of gastric adenocarcinoma patients who were
admitted in the surgery department at Datta Meghe Medical College, Shalinitai Meghe Hospital and Research
Centre, Nagpur in collaboration with Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical
Sciences, Sawangi Meghe, Wardha, Maharashtra were studied.
Results: Majority of patients presented with Stage II (88%) while 12% presented with stage III. 82% patients
underwent curative surgeries while 18% underwent palliative surgeries. The duration of hospital stays for
Gastric Adenocarcinoma surgery for Stage II ranges from 6-8 days (median 7 days) whereas for Stage III
it is 7-8 days (median 7.5 day). A total of 50 patients who underwent surgery for histologically proven
gastric adenocarcinoma. Out of 50 patients a majority i.e. 88% presented in stage II while 12% presented in
stage III.
Conclusion: On the basis of our observations we concluded that the patients presenting earlier in stage II
undergo curative surgeries most often and mean hospital stay post-surgery around a week.