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Gastric Cancers: Surgical Management and Prognostic Factors in the General Surgery Department of the National Ignace Deen Hospital, Conakry (Guinea)

Received: 27 May 2023     Accepted: 13 June 2023     Published: 17 July 2023
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Abstract

Introduction: gastric cancer remains one of the leading causes of cancer death worldwide. The aim of this work was to study the surgical management and to determine the prognostic factors of gastric cancer in the general surgery department of the Ignace Deen national hospital, Conakry (Guinea). Patients and methods: This was a retrospective descriptive study covering a period of 10 years (January 2012 - December 2021) on the consecutive records of patients operated on for gastric cancer in the general surgery department of the Ignace Deen national hospital, Conakry. The variables studied concerned sociodemographic, clinical, therapeutic, histological and prognostic aspects. Results: During the 10 years, we collected 57 gastric cancer cases representing 40.7% of all digestive cancers. The average age of the patients was 57 ± 27.3 years (extremes: 19 and 90 years) with a male predominance (64.9%). In the majority of cases, the cancer had a budding aspect (57.9%) and was located in the antro-pyloric region (71.9%). In the management, curative gastrectomy was possible in 35.1% of cases against 61.4% of palliative surgery and 20% of adjuvant treatment. We recorded a morbidity of 14% and an early mortality of 7%. Two-year survival was 12.3%. Advanced tumor stage was the only significant prognostic factor (p=0.015). Conclusion: Gastric cancer was the most common digestive tract cancer operated on in the general surgery department of the Ignace Deen national hospital during the study period. Treatment was palliative in the majority of cases. Advanced tumor stage was the only significant factor associated with prognosis.

Published in Cancer Research Journal (Volume 11, Issue 3)
DOI 10.11648/j.crj.20231103.12
Page(s) 91-93
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Gastric Cancer, Surgery, Prognosis, Conakry, Guinea

References
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[2] Sung H, Ferlay J, Siegel RL et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J Clin 2021; 71 (3): 209-49.
[3] Koulibaly M, Kabba IS, Cissé A et al. Cancer incidence in Conakry, Guinea: first results from the cancer registry 1992–1995 Int. J. Cancer, 1997; 70: 39-45.
[4] Bassène ML, Sy D, Dia D et al. Le cancer gastrique: étude descriptive de 101 cas dans le centre d’endoscopie digestive du CHU Aristide LeDantec. [Gastric cancer: descriptive study of 101 cases in the digestive endoscopic center of Aristide Le Dantec university hospital]. Méd Santé Trop 2015; 25 (4): 377-380.
[5] Togo A, Kanté L, Togo B. et al. Cancer gastrique: résultats du traitement chirurgical au CHU Gabriel Touré de Bamako (Mali) [Gastric cancer: results of surgical treatment at Gabriel Toure University hospital of Bamako (Mali)]. J Afr d’Hépato-gastroentérologie, 2012; 6, 183-187.
[6] Koura MR, Some O, Ouattara DZ et al. Le cancer de l’estomac dans un pays d’Afrique sub-saharienne: aspects épidémiologiques, anatomo-cliniques et endoscopiques à Bobo-Dioulasso (Burkina Faso). [Cancer of the stomach in a sub-saharian Africa country: epidemiological, anatomo-clinical and endoscopic aspects at Bobo-Dioulasso (Burkina Faso)]. Sci Tech Sci Santé 2019; 42 (2): 79-86.
[7] James Didier L, Adamou H, Chaibou MS et al. Les cancers gastriques: Aspects cliniques, thérapeutiques et pronostiques dans un service à moyens limités à l’Hôpital National de Niamey. [Gastric cancers: clinical, therapeutic and prognosis aspects in the department of limited resources at Niamey national hospital]. Annales de l'Université Abdou Moumouni 2016; 1: 133-140.
[8] Belonga Liboko AF, Kaboré DD, Ndingossoka RJ et al. Aspects Cliniques et Histologiques des Cancers de l’Estomac au Centre Hospitalier et Universitaire de Brazzaville [Clinical and histological aspects of stomach cancers at the university hospital of Brazzaville]. Health Sci. Dis 2022; 23 (5): 65-68.
[9] Majoumo G, Manghe R, Djapa C et al. Aspects Cliniques et Anatomopathologiques des Cancers Gastriques à Yaoundé de 2016 à 2020. [Clinical and anatomopathological aspects of gastric cancers at Yaounde from 2016 to 2020]. Health Sci. Dis 2022; 23 (5): 69-74.
[10] Ahmad SA, Xia BT, Bailey CE et al. An update on gastric cancer. Curr. Probl. Surg 2016; 53 (10): 449-490.
[11] Bah M, Traoré B, Boni JP et al. Aspects diagnostiques, thérapeutiques des cancers de l’estomac en milieu oncologique à Conakry (Guinée). [Diagnosis and therapeutic aspects of cancers of stomach in oncological field at Conakry (Guinea)]. AJOL 2019; 13 (2): 5-10.
[12] Diop B, Dia AA, Ba PA et al. Prise en Charge Chirurgicale des Tumeurs Gastriques à Dakar: à propos de 36 observations. [Surgical management of gastric tumors in Dakar: a report of 36 observations]. Health Sci Dis. 2017; 18 (4): 34-8.
[13] BekoloNga WT, Bagnaka SAF E, Ndjitoyap Ndam A W et al. Facteurs pronostiques du cancer de l’estomac au Cameroun: Cas des Hôpitaux Généraux de Douala et de Yaoundé. [Prognosis factors of cancer of the stomach in Cameroun: cases of general hospitals of Douala and Yaounde]. Health Sci. Dis 2022; 23 (9): 1-5.
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    Conde Ansoumane, Fofana Naby, Soumaoro Labile Togba, Kondano Saa Yawo, Fofana Houssein, et al. (2023). Gastric Cancers: Surgical Management and Prognostic Factors in the General Surgery Department of the National Ignace Deen Hospital, Conakry (Guinea). Cancer Research Journal, 11(3), 91-93. https://doi.org/10.11648/j.crj.20231103.12

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    ACS Style

    Conde Ansoumane; Fofana Naby; Soumaoro Labile Togba; Kondano Saa Yawo; Fofana Houssein, et al. Gastric Cancers: Surgical Management and Prognostic Factors in the General Surgery Department of the National Ignace Deen Hospital, Conakry (Guinea). Cancer Res. J. 2023, 11(3), 91-93. doi: 10.11648/j.crj.20231103.12

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    AMA Style

    Conde Ansoumane, Fofana Naby, Soumaoro Labile Togba, Kondano Saa Yawo, Fofana Houssein, et al. Gastric Cancers: Surgical Management and Prognostic Factors in the General Surgery Department of the National Ignace Deen Hospital, Conakry (Guinea). Cancer Res J. 2023;11(3):91-93. doi: 10.11648/j.crj.20231103.12

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  • @article{10.11648/j.crj.20231103.12,
      author = {Conde Ansoumane and Fofana Naby and Soumaoro Labile Togba and Kondano Saa Yawo and Fofana Houssein and Toure Aboubacar},
      title = {Gastric Cancers: Surgical Management and Prognostic Factors in the General Surgery Department of the National Ignace Deen Hospital, Conakry (Guinea)},
      journal = {Cancer Research Journal},
      volume = {11},
      number = {3},
      pages = {91-93},
      doi = {10.11648/j.crj.20231103.12},
      url = {https://doi.org/10.11648/j.crj.20231103.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.crj.20231103.12},
      abstract = {Introduction: gastric cancer remains one of the leading causes of cancer death worldwide. The aim of this work was to study the surgical management and to determine the prognostic factors of gastric cancer in the general surgery department of the Ignace Deen national hospital, Conakry (Guinea). Patients and methods: This was a retrospective descriptive study covering a period of 10 years (January 2012 - December 2021) on the consecutive records of patients operated on for gastric cancer in the general surgery department of the Ignace Deen national hospital, Conakry. The variables studied concerned sociodemographic, clinical, therapeutic, histological and prognostic aspects. Results: During the 10 years, we collected 57 gastric cancer cases representing 40.7% of all digestive cancers. The average age of the patients was 57 ± 27.3 years (extremes: 19 and 90 years) with a male predominance (64.9%). In the majority of cases, the cancer had a budding aspect (57.9%) and was located in the antro-pyloric region (71.9%). In the management, curative gastrectomy was possible in 35.1% of cases against 61.4% of palliative surgery and 20% of adjuvant treatment. We recorded a morbidity of 14% and an early mortality of 7%. Two-year survival was 12.3%. Advanced tumor stage was the only significant prognostic factor (p=0.015). Conclusion: Gastric cancer was the most common digestive tract cancer operated on in the general surgery department of the Ignace Deen national hospital during the study period. Treatment was palliative in the majority of cases. Advanced tumor stage was the only significant factor associated with prognosis.},
     year = {2023}
    }
    

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  • TY  - JOUR
    T1  - Gastric Cancers: Surgical Management and Prognostic Factors in the General Surgery Department of the National Ignace Deen Hospital, Conakry (Guinea)
    AU  - Conde Ansoumane
    AU  - Fofana Naby
    AU  - Soumaoro Labile Togba
    AU  - Kondano Saa Yawo
    AU  - Fofana Houssein
    AU  - Toure Aboubacar
    Y1  - 2023/07/17
    PY  - 2023
    N1  - https://doi.org/10.11648/j.crj.20231103.12
    DO  - 10.11648/j.crj.20231103.12
    T2  - Cancer Research Journal
    JF  - Cancer Research Journal
    JO  - Cancer Research Journal
    SP  - 91
    EP  - 93
    PB  - Science Publishing Group
    SN  - 2330-8214
    UR  - https://doi.org/10.11648/j.crj.20231103.12
    AB  - Introduction: gastric cancer remains one of the leading causes of cancer death worldwide. The aim of this work was to study the surgical management and to determine the prognostic factors of gastric cancer in the general surgery department of the Ignace Deen national hospital, Conakry (Guinea). Patients and methods: This was a retrospective descriptive study covering a period of 10 years (January 2012 - December 2021) on the consecutive records of patients operated on for gastric cancer in the general surgery department of the Ignace Deen national hospital, Conakry. The variables studied concerned sociodemographic, clinical, therapeutic, histological and prognostic aspects. Results: During the 10 years, we collected 57 gastric cancer cases representing 40.7% of all digestive cancers. The average age of the patients was 57 ± 27.3 years (extremes: 19 and 90 years) with a male predominance (64.9%). In the majority of cases, the cancer had a budding aspect (57.9%) and was located in the antro-pyloric region (71.9%). In the management, curative gastrectomy was possible in 35.1% of cases against 61.4% of palliative surgery and 20% of adjuvant treatment. We recorded a morbidity of 14% and an early mortality of 7%. Two-year survival was 12.3%. Advanced tumor stage was the only significant prognostic factor (p=0.015). Conclusion: Gastric cancer was the most common digestive tract cancer operated on in the general surgery department of the Ignace Deen national hospital during the study period. Treatment was palliative in the majority of cases. Advanced tumor stage was the only significant factor associated with prognosis.
    VL  - 11
    IS  - 3
    ER  - 

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Author Information
  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

  • Department of General Surgery, Ignace Deen National Hospital of Conakry, Conakry, Guinea

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