Schröder H, Zollmann P
Klinik für Chirurgie, Friedrich-Schiller-Universität Jena.
Zentralbl Chir. 1989;114(14):909-18.
Among 1,286 patients with gastric carcinoma we observed 75 carcinomas in operated stomach. There are differences in the pathogenesis of cancer in the stomach operated for ulcera duodeni and ventriculi. The average interval between operation for ulcus and tumor development is 24.4 years, the sex ratio 6.5:1 men:women. Curative therapy was possible in 47% with a mortality of 20%. The 5-year-survival rate was 40%. The adequate operative procedure in the therapy of carcinoma in the operated stomach is the total gastrectomy.
在1286例胃癌患者中,我们观察到75例发生于手术过的胃。十二指肠溃疡和胃溃疡手术后发生的胃癌在发病机制上存在差异。溃疡手术与肿瘤发生之间的平均间隔为24.4年,男女比例为6.5:1。47%的患者可行根治性治疗,死亡率为20%。5年生存率为40%。手术过的胃发生癌肿时,治疗的适当手术方式是全胃切除术。