Feasibility and long-term survival of proximal gastrectomy after neoadjuvant therapy for locally advanced proximal gastric cancer: A propensity-score-matched analysis Article Swipe
Tingfei Gu
,
Yinkui Wang
,
Zhouqiao Wu
,
Ning He
,
Yingai Li
,
Fei Shan
,
Ziyu Li
,
Jiafu Ji
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/cm9.0000000000003232
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1097/cm9.0000000000003232
Background: Neoadjuvant therapy enhances the possibility of achieving radical resection and improves the prognosis for locally advanced gastric cancer (GC). However, there is a lack of evidence regarding the optimal extent of resection for locally advanced proximal GC after neoadjuvant therapy. Methods: In this study, 330 patients underwent resection in Peking University Cancer Hospital, with curative intent after neoadjuvant therapy for histologically confirmed proximal GC from January 2009 to December 2022. Results: In this study, 45 patients underwent proximal gastrectomy (PG), while 285 underwent total gastrectomy (TG). After propensity-score matching, 110 patients (71 TG and 39 PG) were included in the analysis. No significant differences between PG and TG regarding short-term outcomes and long-term prognosis were found. Specifically, PG demonstrated comparable overall survival to TG ( P = 0.47). Subgroup analysis revealed that although not statistically significant, PG showed a potential advantage over TG in overall survival for patients with tumor-long diameters less than 4 cm ( P = 0.31). However, for those with a long diameter larger than 4 cm, TG had a better survival probability ( P = 0.81). No substantial differences were observed in baseline characteristics, surgical safety, postoperative recovery, and postoperative complications. Conclusion: For locally advanced proximal GC with objective response to neoadjuvant therapy (long diameter <4 cm), PG is an alternative surgical procedure.
Related Topics
Concepts
Medicine
Propensity score matching
Neoadjuvant therapy
Gastrectomy
Cancer
Surgery
Internal medicine
Oncology
Gastroenterology
Breast cancer
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1097/cm9.0000000000003232
- OA Status
- gold
- Cited By
- 2
- References
- 64
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4401278094
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4401278094Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1097/cm9.0000000000003232Digital Object Identifier
- Title
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Feasibility and long-term survival of proximal gastrectomy after neoadjuvant therapy for locally advanced proximal gastric cancer: A propensity-score-matched analysisWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2024Year of publication
- Publication date
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2024-08-02Full publication date if available
- Authors
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Tingfei Gu, Yinkui Wang, Zhouqiao Wu, Ning He, Yingai Li, Fei Shan, Ziyu Li, Jiafu JiList of authors in order
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-
https://doi.org/10.1097/cm9.0000000000003232Publisher landing page
- Open access
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YesWhether a free full text is available
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goldOpen access status per OpenAlex
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https://doi.org/10.1097/cm9.0000000000003232Direct OA link when available
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Medicine, Propensity score matching, Neoadjuvant therapy, Gastrectomy, Cancer, Surgery, Internal medicine, Oncology, Gastroenterology, Breast cancerTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
2Total citation count in OpenAlex
- Citations by year (recent)
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2025: 2Per-year citation counts (last 5 years)
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64Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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