Cartia Q, Quaranta L, Lucarini L, Galgano E
Minerva Med. 1977 May 5;68(22):1495-502.
A series of 592 cases of gastric carcinoma operated on between January 1960 and December 1974 at the S. Croce Hospital at Cuneo is reported. The following observations were made: greater frequency in males (68.25%). The following localizations: cardiac portion 31 cases; fundus 20; body 93 and antropyloric 249. Cancer ulcer in 5.06% of cases. Cancer on the gastric stump in ulcer resections in two cases. The following operations were performed: Gastric resection in 325 cases: operative mortality (O.M.) 5%; 5-year survival: 18%. Total gastrectomy in 38 cases: O.M. 13.1%; 2-year survival: 21%, 5-year survival 5.2%. E.A.G. in 61 cases; O.M. 17.8%; survival: 6 months; maximum 26 months. Gastrostomy in 16 cases; Expl. laparotomy in 150 cases. Survival was only a few months in these two latter groups. Out of all operations 5-year survival was 6.7% and 27.4% in so-called curative interventions. In principle, gastric resection is still considered to be the most valid approach.
本文报告了1960年1月至1974年12月期间在库内奥的圣克罗切医院接受手术的592例胃癌病例。观察结果如下：男性发病率更高（68.25%）。以下是肿瘤发生部位：贲门部31例；胃底部20例；胃体部93例；胃窦部249例。5.06%的病例为癌性溃疡。2例溃疡切除术后残胃发生癌症。实施了以下手术：325例行胃切除术，手术死亡率（O.M.）为5%，5年生存率为18%。38例行全胃切除术，手术死亡率为13.1%，2年生存率为21%，5年生存率为5.2%。61例行胃造口术，手术死亡率为17.8%，生存期为6个月，最长26个月。16例行胃造瘘术，150例行剖腹探查术。后两组患者的生存期仅为几个月。在所有手术中，所谓的根治性手术的5年生存率为6.7%，27.4%。原则上，胃切除术仍被认为是最有效的治疗方法。
