title: Surgical treatment of recurrent gastric cancer.
abstract: BACKGROUND
  The value of programs to detect recurrence of a previously operated gastric cancer is a controversial subject. D2 lymphadenectomy achieves better local control and a lower local recurrence rate than D1 lymphadenectomy.
  
  
  METHODS
  The results achieved with surgical treatment of recurrent gastric cancer in a series of 126 consecutive patients who had been treated with gastrectomy with D2 lymphadenectomy are reported. In-hospital mortality was 1.6%.
  
  
  RESULTS
  Follow-up of the remaining 124 patients for a median period of 73.6 months detected recurrence in 46 patients (37%). There were 14 local, 12 peritoneal, and 15 distant recurrences. Recurrent gastric cancer was detected within 2 years in 76% of the patients. Of the 46 patients with recurrence, 5 patients (11%) were selected for surgery (4 local and 1 peritoneal recurrence). The median disease-free time after surgery for recurrence was 26 months (range, 14-58 months). There was no in-hospital mortality. The median survival time after surgery for recurrence was 26 months (range, 9-87 months). One patient died during follow-up, while none of the other patients have any evidence of new recurrence.
  
  
  CONCLUSIONS
  Surgery for recurrent gastric cancer is a valid alternative in selected patients, provided it is performed by specialized work teams.
authors: Esophagogastric Unit, Department of General and Gastrointestinal Surgery, Hospital Virgen del Camino, Pamplona, Navarra, Spain.
authors: Alvaro Díaz
authors: AD
authors: de Liaño
authors: Concepción
authors: C
authors: Yarnoz
authors: Rubén
authors: R
authors: Aguilar
authors: Cristina
authors: C
authors: Artieda
authors: Héctor
authors: H
authors: Ortiz
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005743:Gastrectomy; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000601:surgery*; D011446:Prospective Studies; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016019:Survival Analysis; D016896:Treatment Outcome