低容量医院行胃癌手术的可行性。
Feasibility of gastric cancer surgery at low volume hospitals.
机构信息
Department of Surgery, The Catholic University of Korea, School of Medicine, Seoul, Korea.
出版信息
J Gastric Cancer. 2010 Dec;10(4):234-40. doi: 10.5230/jgc.2010.10.4.234. Epub 2010 Dec 31.
PURPOSE
Most gastric cancer patients undergo operations at large tertiary hospitals in Korea. However, some patients are treated at low volume hospitals. We investigated patient outcomes after gastric surgery at a secondary hospital and compared with outcomes of large volume centers.
MATERIALS AND METHODS
We included 184 patients who underwent gastric surgery for gastric cancer at our hospital from January 2003 to December 2008. We conducted a retrospective study and evaluated the clinicopathological characteristics, clinical outcomes and survival rate of patients.
RESULTS
Mean age was 61.7 years old. Male to female ratio was 2.2 : 1. Proportion of early gastric cancer was 38.6% and that of advanced gastric cancer was 61.4%. The 5 year overall survival rate of 184 patients was 66.3%. The overall survival rate was significantly lower for people over 62 years old. The morbidity rate and mortality at our hospital were 10.3% and 0.5%, respectively.
CONCLUSIONS
The overall survival rate, morbidity and mortality were similar to those of the previous reports from Korea. Treatment of gastric cancer at a secondary hospital is feasible and safe. Standardization of operations and management of gastric cancer patients of the Korean Gastric Cancer Association is the most important factor to achieve these outcomes.
目的
大多数韩国胃癌患者在大型三级医院接受手术。然而，有些患者在低容量医院接受治疗。我们调查了在二级医院进行胃手术后的患者结局，并与大容量中心的结果进行了比较。
材料和方法
我们纳入了 184 例于 2003 年 1 月至 2008 年 12 月在我院接受胃癌胃切除术的患者。我们进行了回顾性研究，评估了患者的临床病理特征、临床结局和生存率。
结果
平均年龄为 61.7 岁。男女比例为 2.2:1。早期胃癌比例为 38.6%，进展期胃癌比例为 61.4%。184 例患者的 5 年总生存率为 66.3%。年龄超过 62 岁的患者总生存率显著降低。我院的发病率和死亡率分别为 10.3%和 0.5%。
结论
我院的总生存率、发病率和死亡率与韩国之前的报告相似。在二级医院治疗胃癌是可行且安全的。韩国胃癌协会对胃癌患者的手术规范化和管理是实现这些结果的最重要因素。
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