Buchholtz T W, Welch C E, Malt R A
Ann Surg. 1978 Dec;188(6):711-5. doi: 10.1097/00000658-197812000-00001.
The course of 201 patients with carcinoma of the stomach treated from 1962 through 1966 was followed with 97% determinacy for 10 years. The actual five year survival rate was 11%; the ten year rate was 7%. The mean duration of survival was 5.8 +/- 2.7 (S.D.) months. These results were similar to those reported for the period 1922-1926. Survival was strongly correlated with the surgeon's assessment after exploration. All patients alive after five years had operations thought to be curative, usually partial gastrectomies; the survival rate of this group was 24%. Gastroenterostomy was ineffectual palliation. Better results will require nonsurgical adjuncts, since the correlates of survival are those of minimally invasive cancer.
1962年至1966年期间接受治疗的201例胃癌患者的病程被追踪了10年，追踪确定性达97%。实际五年生存率为11%；十年生存率为7%。平均生存时长为5.8±2.7（标准差）个月。这些结果与1922年至1926年期间报告的结果相似。生存与探查后外科医生的评估密切相关。所有存活五年后的患者都接受了被认为是根治性的手术，通常是部分胃切除术；该组的生存率为24%。胃肠造口术是无效的姑息治疗。由于生存的相关因素是微创癌症的相关因素，因此需要非手术辅助手段才能取得更好的结果。
