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Open Access Research article

The quality of life after a total gastrectomy with extended lymphadenectomy and omega type oesophagojejunostomy for gastric adenocarcinoma without distant metastases

Gintare Jakstaite1, Narimantas Evaldas Samalavicius1*, Giedre Smailyte1 and Raimundas Lunevicius2

Author Affiliations

1 Clinic of Oncosurgery of Oncology Institute, Clinic of Internal Diseases, Family Medicine and Oncology of Medical Faculty, Vilnius University, 1 Santariskiu Street, Vilnius, LT-08660, Lithuania

2 Liver, Renal & Surgery Department, King’s College Hospital NHS Foundation Trust, King’s Health Partners Academic Health Sciences Centre, Denmark Hill, London, SE5 9RS, UK

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BMC Surgery 2012, 12:11  doi:10.1186/1471-2482-12-11

Published: 27 June 2012

Abstract

Background

To evaluate the quality of life (QOL) in relation to age, sex, clinical stage, postoperative complication, and adjuvant chemotherapy in patients who underwent curative total gastrectomy with D2 lymphadenectomy and Omega type esophagojejunostomy for gastric adenocarcinoma.

Methods

69 patients were included. Lithuanian version of the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire Cancer 30 was sent to all of them from six months to two years after gastric surgery for self-completion. 34 questionnaires were filled and were used as material for further analysis. Influence of age (≥ 65 vs < 65), sex, clinical stage (I–II vs III), surgical complication, and adjuvant chemotherapy was assessed on QOL in this retrospective cross-sectional case series study.

Results

The global health status was better in the group of patients aged over 65 (63.0 points vs 46.4, P = 0.0509). The functional scales were higher in the same group of patients. Significant difference was only observed on the social scale in favour of elders (P = 0.0039). Sex, clinical stage, surgical complications, and postoperative chemotherapy had no significant influence on any aspect of QOL.

Conclusion

The global QOL and the social functioning was better in patients aged 65 years and over, compared to patients under the age of 65 in the period of 6 to 18 months after a total gastrectomy with D2 lymphadenectomy and Omega esophagojejunostomy.

Keywords:
Gastric cancer; Total gastrectomy; Extended lymphadenectomy; Omega esophagojejunostomy; Quality of life