Giuli R
Sem Hop. 1979;55(15-16):801-5.
759 patients were studied, deriving from the Statistics of the Department from the last twenty years and the result of an inquiry sent out to the French members of the Collegium Internationale Chirurgiae Digestival. For 602 tumors of the cardia, the long term results of the upper gastrectomies were, inspite of area of non-invaded lymph nodes for 1/3 of the patients, the same for the two sources of statistics, with almost no survival after the fourth year. On the contrary, however, the percentages of survival of total gastrectomies "by choice" are 40 and 31% after five years. As for the cancers of the lower part, the result was not as precise and the apparent or proved non invaded state of lymph nodes during the operation make us rather tend towards a partial gastrectomy. (Combined with a mortality rate inferior to those of total gastrectomies). As for the total of gastric cancers, the total gastrectomies "by necessity" (eith by tumor growth or lymph tive therapy in a specialized center permit fifty per cent after five years, for the patients who would have been condemned by any other therapeutical act. The nutritional consequences of the total gastrectomies were studied and permitted to conclude that post operative therapy in a specialized center permit fifty per cent of the patients of work age to take up their professional activities again and, on the whole, sixty five per cent of them to have completely satisfactory independance.
我们研究了759名患者，这些患者来自该科室过去二十年的统计数据以及向国际消化外科学会法国成员发出的一份调查问卷的结果。对于602例贲门肿瘤患者，尽管三分之一的患者存在未受侵犯的淋巴结区域，但两种统计来源的近端胃切除术的长期结果相同，四年后几乎无存活者。然而，相反的是，“选择性”全胃切除术五年后的生存率分别为40%和31%。至于胃下部的癌症，结果不太精确，手术中明显或经证实的淋巴结未受侵犯状态使我们更倾向于行部分胃切除术（其死亡率低于全胃切除术）。至于所有胃癌患者，“必要时”（因肿瘤生长或淋巴结受累）行全胃切除术的患者在专门中心接受积极治疗后，五年生存率为50%，而这些患者若采用任何其他治疗方法则预后不佳。我们研究了全胃切除术的营养后果，得出结论：在专门中心进行术后治疗，可使50%达到工作年龄的患者重新从事职业活动，总体而言，其中65%的患者能获得完全满意的独立生活能力。
