Yan C J, Brooks J R
Am J Surg. 1985 Jun;149(6):771-4. doi: 10.1016/s0002-9610(85)80183-5.
This paper has analyzed the results of surgical management of 196 patients with gastric carcinoma treated from 1958 through 1982 at the Brigham and Women's Hospital in Boston and compares the experience during this time period with that of the previous 45 years. Surgical technique, operative mortality and complications, and 5 year survival were recorded. The resectability rate of the tumor in patients explored was 78.1 percent, and the 5 year survival rate for all 153 gastrectomies was 24.9 percent (36.2 percent for curative gastrectomy and 8.6 percent for palliative gastrectomy). Chronologic comparison over the years showed a decrease in the incidence of cancer of the stomach over the past 65 years, a steady increase in the 5 year absolute survival of patients with gastric carcinoma, and a significant decrease in the operative mortality and an increase in the 5 year survival after subtotal gastrectomy.
本文分析了1958年至1982年在波士顿布里格姆女子医院接受治疗的196例胃癌患者的手术治疗结果，并将这一时期的经验与此前45年的经验进行了比较。记录了手术技术、手术死亡率和并发症以及5年生存率。接受探查的患者中肿瘤可切除率为78.1%，所有153例胃切除术的5年生存率为24.9%（根治性胃切除术为36.2%，姑息性胃切除术为8.6%）。多年的时间比较显示，在过去65年中胃癌发病率下降，胃癌患者的5年绝对生存率稳步上升，手术死亡率显著下降，胃次全切除术后的5年生存率上升。
