Bakran I, Erlich J, Golem F, Cavcić J, Jelić J, Jurković M
Acta Chir Iugosl. 1977;24 Suppl 2:49-56.
During the period from 1961 to 1976 884 patients with cancer of the stomach were registered and treated at surgical Clinic in Zagreb. From those cases 607 (68,66%) were men and 277 (31,34%) women. The age of patients varied from 50 to 70 years. More of them were pensoners and farmers. From those patients 196 (22,17%) were smokers and 176 (19,9%) alcoholics. All of them had usual symptoms of cancers of the stomach, mainly combined with loss in weight, loss of appetite and gastrointestinal bleeding. Average duration of symptoms before coming to the Clinic was six months. Preoperatively 88 (9,9%) were inoperable. By explorative laparotomy 175 (17,5%) inoperable cases were found. At 261 (29,5%) palliative operations were done. 63 (7,1%) patients refused to be operated. Using different methods 297 (35,5%) patients were radical operated. The most frequent were adenocarcinoma and after them gastric ulcers which became malignant. The most frequent causes of death were peritonitis and pneumonia. 7,3% of radically operated patients survived 5 years.
1961年至1976年期间,萨格勒布外科诊所登记并治疗了884例胃癌患者。其中607例(68.66%)为男性,277例(31.34%)为女性。患者年龄在50至70岁之间。他们中退休人员和农民居多。这些患者中有196例(22.17%)吸烟,176例(19.9%)酗酒。他们都有胃癌的常见症状,主要伴有体重减轻、食欲不振和胃肠道出血。就诊前症状的平均持续时间为6个月。术前88例(9.9%)无法手术。经探查性剖腹术发现175例(17.5%)无法手术的病例。261例(29.5%)进行了姑息性手术。63例(7.1%)患者拒绝手术。采用不同方法对297例(35.5%)患者进行了根治性手术。最常见的是腺癌,其次是恶变的胃溃疡。最常见的死亡原因是腹膜炎和肺炎。7.3%的根治性手术患者存活了5年。