Abstract:
Objective:To investigate the risk factors of resection-margin involvement(R1)in radical gastrectomy of gastric cancer patients. Methods:The clinical data of 412 cases of radical gastrectomy performed from Jan.2008 to Nov.2009 in Changhai Hospital were analyzed retrospectively. The potential risk factors of proximal resection margins(PRM)/distal resection margins(DRM)R1 were analyzed by univariate and multivariate Logistic regression analysis. Results:The univariate analysis showed that the risk factors of PRM R1 included tumor size,tumor location, Borrmann type,tumor marker in serum,Operation name,PRM distance,T stage,N stage and TNM stage(P<0.05), and the risk factors of DRM R1 included DRM distance, T stage and vascular invasion(P<0.05). The multivariate Logistic regression analysis showed that the risk factors of PRM R1 included N3(RR=2.677)and PRM distance(RR=0.423),and the risk factors of DRM R1 was DRM distance (RR=0.407).There were no effect on the PRM R1 when PRM distance ≥9cm and on the DRM R1 when DRM distance ≥4cm under the analysis of RM distance as intercept point. Conclusion:N3 stage and PRM distance(<9cm)are independent risk factors of the incidence of PRM R1 and DRM distance(<4cm)is the only independent risk factors of the incidence of DRM R1.