Schmid E, Gehl H, Blaich E, Haag S, Lorentz H, Kovarik P, Rettenmayr K, Schwarzkopf H
Z Gastroenterol. 1981 Feb;19(2):51-5.
In a nine-year period, 46 patients with early gastric cancer were diagnosed and operated at a county hospital. Fiberscopy of the stomach raised the percentage of early gastric cancer from 1% in a five year pre-endoscopic period to 11.9% with endoscopy. On an average, subjects with early gastric cancer were 8 years younger than all cases with gastric carcinoma, those with the diffuse type according to Laurén significantly younger than those with the intestinal type, too. Postoperative mortality amounted to 6.5%; five more patients of 43 surviving the operation have died in the meanwhile. Besides synchronous and metachronous cancer in the resected stomach and other organs, late distant metastasis must be considered, too, in the follow-up of patients operated from early cancer of the stomach. These complications may endanger the five-years survival rate of 89% observed in the first series of our patients.
在九年时间里，一家县级医院诊断并收治了46例早期胃癌患者并实施了手术。胃部纤维内镜检查使早期胃癌的比例从内镜检查前五年的1%提高到了内镜检查后的11.9%。平均而言，早期胃癌患者比所有胃癌病例年轻8岁，根据劳伦分类法，弥漫型患者比肠型患者明显年轻。术后死亡率为6.5%；43例术后存活患者中有5例在此期间死亡。除了切除的胃部及其他器官中出现的同时性和异时性癌症外，在对早期胃癌手术患者的随访中还必须考虑晚期远处转移。这些并发症可能会危及我们首批患者中观察到的89%的五年生存率。
