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[中等规模中心的胃癌手术]

[Surgery of gastric cancer in a medium volume center].

作者信息

Wahnschaff F, Clauer U, Roder J

机构信息

Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Kreisklinik Altötting, Vinzenz-von-Paul Str. 10, 84503 Altötting, Germany.

出版信息

Chirurg. 2012 Sep;83(9):823-9. doi: 10.1007/s00104-012-2324-8.

DOI:10.1007/s00104-012-2324-8
PMID:22821091
Abstract

BACKGROUND

The aim of the study was to evaluate prognostic factors for the surgical treatment of gastric cancer in a medium volume center. The investigation focused in particular on morbidity and mortality.

PATIENTS AND METHODS

From January 2005 to August 2011 a total of 74 patients with gastric cancer were surgically treated in our medium volume center. The study of these patients included morbidity, mortality, UICC (International Union Against Cancer) stage, Laurén classification, surgical therapy procedure, American Society of Anesthesiologists (ASA) classification and duration of surgery.

RESULTS

After surgery 11 patients suffered from complications with a morbidity of 14.9% and a mortality of 1.4% (n=1). No significant differences could be detected during the study period.

CONCLUSION

In comparison to other studies the morbidity and mortality rates signify similar to better data than complications of high volume centers which might be due to the small group of surgeons who are specialized in gastric surgery.

摘要

背景

本研究的目的是评估在一个中等规模中心进行胃癌手术治疗的预后因素。该调查特别关注发病率和死亡率。

患者与方法

2005年1月至2011年8月,共有74例胃癌患者在我们的中等规模中心接受了手术治疗。对这些患者的研究包括发病率、死亡率、国际抗癌联盟(UICC)分期、劳伦分类、手术治疗程序、美国麻醉医师协会(ASA)分类和手术时长。

结果

术后11例患者出现并发症,发病率为14.9%,死亡率为1.4%(n = 1)。在研究期间未发现显著差异。

结论

与其他研究相比,发病率和死亡率表明数据与大容量中心的并发症相似或更好,这可能是由于专门从事胃癌手术的外科医生数量较少。

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1
[Surgery of gastric cancer in a medium volume center].[中等规模中心的胃癌手术]
Chirurg. 2012 Sep;83(9):823-9. doi: 10.1007/s00104-012-2324-8.
2
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The role of the cancer center when using lymph node count as a quality measure for gastric cancer surgery.癌症中心在使用淋巴结计数作为胃癌手术质量衡量标准时的作用。
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本文引用的文献

1
[Current S3 guidelines on surgical treatment of gastric carcinoma].[当前关于胃癌外科治疗的S3指南]
Chirurg. 2012 Jan;83(1):31-7. doi: 10.1007/s00104-011-2149-x.
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Treatment strategies in gastric cancer.胃癌的治疗策略。
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Risk factors for operative morbidity and mortality in gastric cancer patients undergoing total gastrectomy.接受全胃切除术的胃癌患者手术并发症及死亡率的危险因素。
World J Gastroenterol. 2008 Nov 14;14(42):6560-3. doi: 10.3748/wjg.14.6560.
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National outcomes after gastric resection for neoplasm.胃肿瘤切除术后的全国性结果。
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The influence of case load and the extent of resection on the quality of treatment outcome in gastric cancer.病例数量和切除范围对胃癌治疗效果质量的影响。
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Hospital volume and operative mortality in cancer surgery: a national study.癌症手术中的医院手术量与手术死亡率:一项全国性研究。
Arch Surg. 2003 Jul;138(7):721-5; discussion 726. doi: 10.1001/archsurg.138.7.721.
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Hospital volume and surgical mortality in the United States.美国医院的手术量与手术死亡率
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Changing pattern of histological type, location, stage and outcome of surgical treatment of gastric carcinoma.胃癌组织学类型、位置、分期及手术治疗结果的变化模式。
Br J Surg. 2000 May;87(5):618-26. doi: 10.1046/j.1365-2168.2000.01425.x.
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Epidemiology of intestinal and diffuse types of gastric carcinoma. A time-trend study in Finland with comparison between studies from high- and low-risk areas.肠型和弥漫型胃癌的流行病学。芬兰的一项时间趋势研究,并与高风险和低风险地区的研究进行比较。
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10
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Chirurg. 1994 Apr;65(4):298-306.