[Surgical therapy and results in stomach cancer at an Austrian regional hospital].

The resection rate of 216 gastric carcinomas, which were treated between January 1984 and October 1988, was 81.5%. Total gastrectomies were performed in 65.3%, distal resections in 33% and proximal resections in 1.7%. 68.1% of the operations were performed with curative intention, 13.4% were palliative, 18.5% were bypass operations and explorative laparotomies. In 52% the operations were extended to other organs. The total lethality of gastrectomies was 6.3% (for operations with curative intention 3.1%, for palliative ones 21%). None of the patients died of insufficiency of the anastomosis. The total lethality of distal and proximal resections was 3.7% (for operations with curative intention 0%, for palliative ones 20%). Explorative laparotomies and bypass operations had a lethality of 10%. According to the histo-pathological classification of the WHO 6% were well, 31% moderately and 46.8% poorly differentiated adenocarcinomas. Signet ring cell carcinomas were diagnosed in 9.3% of the cases. A histological classification of metastasis only was done in 3.2%. 3.7% of the cases were not examined histologically. 55.7% corresponded to the intestinal, 29.6% to the diffuse and 7% to the mixed type of Lauren. A Lauren classification was not possible in 7.8%. According to the UICC-criteria 13% were stage IA, 14.35% IB, 10.2% II, 14.35% IIIA, 10.2% IIIB and 6% IV(RO). In 31.9% a residual tumor (R1/R2) had to be left behind. The percentage of early cancer was 16%. 14 of the 34 early cancers corresponded to the mucosa and 20 to the submucosa type.(ABSTRACT TRUNCATED AT 250 WORDS)