Kirchner R, Stützer H, Farthmann E H
Chirurgische Universitätsklinik, Freiburg.
Langenbecks Arch Chir Suppl Kongressbd. 1992:142-6.
The German Gastric Cancer TNM Study included 1335 patients, of whom 657 (49.2%) underwent palliative surgery. The rate of resection was 50.6%. Postoperative complications occurred twice as often after palliative resectional surgery than after non-resectional procedures. In contrast, operative mortality rates did not differ. The median time of survival was 3 months after non-resectional procedures and 11 months after palliative resections. A considerable restriction of the quality of life occurred 2-3 months before death in both patient groups. Therefore, patients with non-resectional surgery hardly profit from the operation.
德国胃癌TNM研究纳入了1335例患者，其中657例（49.2%）接受了姑息性手术。切除率为50.6%。姑息性切除术后发生术后并发症的频率是非切除手术的两倍。相比之下，手术死亡率并无差异。非切除手术后的中位生存时间为3个月，姑息性切除术后为11个月。两组患者在死亡前2 - 3个月生活质量均受到显著限制。因此，接受非切除手术的患者几乎无法从手术中获益。
