Junginger T, Wahl W, Pichlmaier H
Klinik für Allgemein-und Abdominalchirurgie der Johannes Gutenberg-Universität Mainz.
Langenbecks Arch Chir. 1989;374(3):175-80. doi: 10.1007/BF01261729.
At the department of surgery at the university hospital in Cologne 94 patients suffering from early gastric cancer of the stomach were operated in the years between 1968 and 1983. From 1972 till 1987 the department of surgery at the university hospital Mainz has had 74 patients. Survival rates and times without recurrence were calculated dependent on the surgical treatment carried out. In both collectives the prognosis for the patients with mucosal carcinoma was good no matter which operation was carried out. In the case of submucosal infiltration the frequency of recurrence was smaller and the survival rates significantly higher in those patients who subjected to a cancer operation than in those on whom only a resection of two third of the stomach was performed. The results indicate a radical approach in the treatment of early gastric cancer. At least in the case of submucosal carcinoma a dissection of the N2 lymph nodes is advisable.
1968年至1983年间，科隆大学医院外科为94例早期胃癌患者实施了手术。1972年至1987年，美因茨大学医院外科有74例患者。根据所实施的手术治疗计算生存率和无复发时间。在这两个群体中，无论进行何种手术，黏膜癌患者的预后都很好。在黏膜下浸润的情况下，接受癌症手术的患者复发频率较低，生存率明显高于仅行胃三分之二切除术的患者。结果表明早期胃癌的治疗应采取根治性方法。至少对于黏膜下癌，建议清扫N2淋巴结。
