Review
Author: Eom, Sang Soo ; Yun, Jong Hyuk ; Ahn, Hye Seong ; Gong, Chung-sik ; Kang, Dong Baek ; Seo, Won Jun ; Baik, Yonghae ; Cho, In ; Park, Ji-Hyeon ; Kim, Sojung ; Park, Ji-Ho ; Park, Jong-Min ; Kim, Su-Mi ; Park, Young Suk ; Park, Ki Bum ; Park, Daegeun ; Lee, Sejin ; Lee, Chang Min ; Lee, Eunju ; Kim, Eun Young ; Park, Sin Hye ; Jeong, Seong-A ; Jeong, Inho ; Lee, Moon Soo ; Shin, Cheol Min ; Park, Jungjai ; Chae, Hyun-dong ; Oh, Sung Eun ; Lee, Jeongyeon ; Lee, Jin Won ; Yang, Yusung ; Kim, Jeesun ; Kim, Jong Won ; Oh, Seongil ; Lee, Ju-Hee ; Kim, Sung Gon ; Kim, Sang Hyun ; Lee, Seung Soo ; Kim, Yoo Min ; Kim, Hogoon ; Jung, Ji Eun ; Kim, Dae Hoon ; Kim, Jin-Jo ; Min, Jae-Seok ; Hwang, Seong Ho ; Song, Jeong Ho ; Jung, Mi Ran ; Lee, Hayemin ; Seo, Sang Hyuk ; Choi, Changin ; Choi, Sung Il ; Kim, Dong Jin ; Kim, Yoonhong ; Oh, Seung Jong ; Bang, Kyunghye ; Kim, Ki Han ; Gong, Seong Chan ; Son, Young-Gil ; Jung, Yoon Ju ; Park, Dong Jin ; Eom, Bang Wool ; Lee, Kyung-Goo ; Park, Ji Hun ; Kwak, Yoonjin ; Chung, Jae Hun ; Oh, Sung Jin ; Lee, Sang-Il ; Bae, Jung-Min ; Jeong, Sang-Ho
PURPOSESince 1995, the Korean Gastric Cancer Association (KGCA) has been periodically conducting nationwide surveys on patients with surgically treated gastric cancer. This study details the results of the survey conducted in 2023.MATERIALS AND METHODSThe survey was conducted from March to December 2024 using a standardized case report form. Data were collected on 86 items, including patient demographics, tumor characteristics, surgical procedures, and surgical outcomes. The results of the 2023 survey were compared with those of previous surveys.RESULTSData from 12,751 cases were collected from 66 institutions. The mean patient age was 64.6 years, and the proportion of patients aged ≥71 years increased from 9.1% in 1995 to 31.7% in 2023. The proportion of upper-third tumors slightly decreased to 16.8% compared to 20.9% in 2019. Early gastric cancer accounted for 63.1% of cases in 2023. Regarding operative procedures, a totally laparoscopic approach was most frequently applied (63.2%) in 2023, while robotic gastrectomy steadily increased to 9.5% from 2.1% in 2014. The most common anastomotic method was the Billroth II procedure (48.8%) after distal gastrectomy and double-tract reconstruction (51.9%) after proximal gastrectomy in 2023. However, the proportion of esophago-gastrostomy with anti-reflux procedures increased to 30.9%. The rates of post-operative mortality and overall complications were 1.0% and 15.3%, respectively.CONCLUSIONSThe results of the 2023 nationwide survey demonstrate the current status of gastric cancer treatment in Korea. This information will provide a basis for future gastric cancer research.