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胃癌的手术治疗——个人成果(作者译)

[Surgical treatment of gastric cancer-personal results (author's transl)].

作者信息

Wolff H, Otto G

出版信息

Arch Geschwulstforsch. 1976;46(5):350-9.

PMID:66044
Abstract

In the years from 1964 to 1973, 672 patients with gastric cancer were treated in the Surgical Department of Medical Academy Dresden. Tumors were located in the gastric antrum in 28.9%, in the cardia-fundus region in 28,1%, in the corpus ventriculi in 18.3%, and had involved the stomach totally in 18.6%. A resection was performed in 268 cases or 50.0%. Postoperative fatality rate was 20.1% but amounted to 30% in resection of the proximal part of the stomach and in total gastrectomy. The 5-year relative survival rate was 35.0% in distal partial gastrectomy, 10.4% in proximal partial gastrectomy, 8.2% in total gastrectomy, and 20.1% for all resections. Prognosis depends on local extension and on lymph node metastasis. Results are compared with data from the literature.

摘要

1964年至1973年间,德累斯顿医学院外科治疗了672例胃癌患者。肿瘤位于胃窦的占28.9%,位于贲门-胃底部区域的占28.1%,位于胃体部的占18.3%,全胃受累的占18.6%。268例(占50.0%)进行了切除术。术后死亡率为20.1%,但在胃近端部分切除术和全胃切除术中高达30%。远端部分胃切除术的5年相对生存率为35.0%,近端部分胃切除术为10.4%,全胃切除术为8.2%,所有切除术为20.1%。预后取决于局部扩展和淋巴结转移。将结果与文献数据进行了比较。

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