Slisów W, Marx G, Seifart W, Staneczek W
Zentralbl Chir. 1987;112(1):27-33.
An analysis was made of therapeutic results obtained from 6,220 cases of primary gastric carcinoma and from 1,308 cases of radical surgery, as listed in the 1976 National Cancer Record of the GDR. Results were examined relative to the number of radical operations per annum. Involved in the above treatment of gastric carcinoma were 237 surgical wards throughout the GDR. Numbers of radical operations were between one and four per annum in 56.1 per cent of all wards (Group I), between 5 and 19 in 40.5 per cent (Group II), and 20 or more in only 3.4 per cent (Group III). Radical removability accounted for 13.2 per cent of all cases in Group I, 28.2 per cent in Group II, and 38.5 per cent in Group III. Better therapeutic results relative to the number of radical operations per annum were reflected in the following absolute five-year survival rates: 3.4 per cent in Group I, 6.8 per cent in Group II, and 10.6 per cent in Group III. These findings are likely to support the advisability of regional centralisation of treatment for stomach carcinoma.
对民主德国1976年国家癌症记录中列出的6220例原发性胃癌病例和1308例根治性手术病例的治疗结果进行了分析。根据每年根治性手术的数量对结果进行了检查。民主德国各地的237个外科病房参与了上述胃癌治疗。在所有病房中，56.1%的病房每年进行的根治性手术数量在1至4例之间（第一组），40.5%的病房在5至19例之间（第二组），只有3.4%的病房在20例或更多（第三组）。根治性切除率在第一组所有病例中占13.2%，在第二组中占28.2%，在第三组中占38.5%。相对于每年根治性手术的数量，更好的治疗结果体现在以下绝对五年生存率中：第一组为3.4%，第二组为6.8%，第三组为10.6%。这些发现可能支持胃癌治疗区域集中化的可取性。
