Kodama M, Ishikawa K, Koyama H, Yamazaki Y, Narisawa T, Koyama K
First Department of Surgery, Akita University School of Medicine, Japan.
Nihon Geka Gakkai Zasshi. 1989 Apr;90(4):513-6.
Relative non curative resection of gastric cancer was studied according to The General Rules of Japanese Research Society for gastric cancer. The five year survival rate was 31.2%, while 39.6% for relative curative resection and 4.9% for absolute non curative resection. The cases whose relative non curative factor was due to lymph nodes (n greater than R) resulted in a fair prognosis, but the prognosis of those concerned with peritoneal dissemination (P1) or liver metastasis (H1) was very poor. Surgical achievement to improve postoperative results may be obtained when a systemic (13), (14v) (16) lymph node dissection is performed whenever only one of them was involved in metastasis.
根据日本胃癌研究会总则对胃癌相对非根治性切除术进行了研究。五年生存率为31.2%,而相对根治性切除术为39.6%,绝对非根治性切除术为4.9%。相对非根治性因素归因于淋巴结(n大于R)的病例预后尚可,但伴有腹膜播散(P1)或肝转移(H1)的病例预后很差。当仅其中一组淋巴结发生转移时,进行系统性(13)、(14v)、(16)组淋巴结清扫术,可能会取得改善术后结果的手术成效。