Schmid E, Rettenmayr K, Blaich E, Gehl H, Schwarzkopf H
Z Gastroenterol. 1981 Sep;19(9):464-70.
The evaluation of 535 patients with gastric cancer observed in two 5-years periods with low (3%) and high (84%) preoperative endoscopic frequence demonstrated: 1. Change of the diagnostic procedure, mainly on the basis of out-patients examination, 2. a diminished role of preoperative X-ray examination for decisions about the further proceeding. 3. no more unnecessary probatory laparotomies without a lesion requiring surgery, 4. improved preoperative exclusion from surgery of patients supposed to be not operable, resulting in a reduction of explorative laparotomies and a relative increase of gastrectomies, and finally 5. a significant increase in early gastric cancer with a concomitant decrease of stage 2 and 3. The percentage of the largest group of gastric cancer in stage 4 remained constant, however.
对535例胃癌患者进行了评估，这些患者在两个5年期内被观察，术前内镜检查频率分别为低（3%）和高（84%），结果显示：1. 诊断程序发生了变化，主要基于门诊检查；2. 术前X线检查在决定进一步治疗方案时的作用减弱；3. 不再有无需手术病变的不必要探查性剖腹手术；4. 改善了术前对被认为不可手术患者的手术排除，导致探查性剖腹手术减少，胃切除术相对增加；最后5. 早期胃癌显著增加，同时2期和3期减少。然而，4期胃癌最大组的百分比保持不变。
