http://www.ulusalcerrahidergisi.org Turkish Journal of Surgery - RSS feed of 2004; 20(1) 1300-0705 January 2004 Turkish Journal of Surgery 1300-0705 http://www.ulusalcerrahidergisi.org/text.php3?id=701 2004-01-01 Turkish Journal of Surgery 1 20 016 2004-01-01 006 Review http://www.ulusalcerrahidergisi.org/text.php3?id=702 2004-01-01 Turkish Journal of Surgery 1 20 021 2004-01-01 017 Original Article http://www.ulusalcerrahidergisi.org/text.php3?id=703 2004-01-01 Turkish Journal of Surgery 1 20 029 2004-01-01 022 Original Article http://www.ulusalcerrahidergisi.org/text.php3?id=704 th Department of Surgery, Ankara Numune Education and Research Hospital were included in this study. Twenty five clinicopathologic factors were analyzed by univariate (chi-square test, student-t test, Kaplan-Meier and log rank tests) and multivariate (logistic regression and Cox regression analyses) analyses to determine their effect on overall, local-regional, systemic and peritoneal recurrence rates. Of the 102 patients 44 (43.1%) had recurrences during the mean follow-up period of 31.4 months (6-125 months). According to multivariate analyses, resectability and metastatic lymph node ratios were found to be the most significant independent factors. Lymph node status (1992 TNM and 1997 TNM), neural and vascular invasion were also significant factors. Extent of lymphadenectomy seemed to effect local-regional recurrence rates; invasion depth and Bormann type affected peritoneal recurrence rates. Conclusion: Gastric cancer recurrence rates mainly depend on the stage of the tumor and the importance of early diagnosis is a well known factor. On the other hand efficacy of the surgical management is another important factor. R0 resection and metastatic lymph node ratio below 20% decreases recurrence rates. D2 lymphadenectomy is closely associated with R0 resection rate and metastatic lymph node rate and seems to be necessary for decreasing recurrence rates and for reliable staging.]]> 2004-01-01 Turkish Journal of Surgery 1 20 039 2004-01-01 030 Original Article http://www.ulusalcerrahidergisi.org/text.php3?id=705 2004-01-01 Turkish Journal of Surgery 1 20 044 2004-01-01 040 Original Article