[Analysis of surgical treatment of 592 cases of cancer of the stomach].
A series of 592 cases of gastric carcinoma operated on between January 1960 and December 1974 at the S. Croce Hospital at Cuneo is reported. The following observations were made: greater frequency in males (68.25%). The following localizations: cardiac portion 31 cases; fundus 20; body 93 and antropyloric 249. Cancer ulcer in 5.06% of cases. Cancer on the gastric stump in ulcer resections in two cases. The following operations were performed: Gastric resection in 325 cases: operative mortality (O.M.) 5%; 5-year survival: 18%. Total gastrectomy in 38 cases: O.M. 13.1%; 2-year survival: 21%, 5-year survival 5.2%. E.A.G. in 61 cases; O.M. 17.8%; survival: 6 months; maximum 26 months. Gastrostomy in 16 cases; Expl. laparotomy in 150 cases. Survival was only a few months in these two latter groups. Out of all operations 5-year survival was 6.7% and 27.4% in so-called curative interventions. In principle, gastric resection is still considered to be the most valid approach.
D000230:Adenocarcinoma / Q000601:surgery; D002288:Adenocarcinoma, Mucinous / Q000601:surgery; D000328:Adult; D000368:Aged; D002277:Carcinoma / Q000601:surgery; D005069:Evaluation Studies as Topic; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D011178:Postgastrectomy Syndromes / Q000401:mortality; D012737:Sex Factors; D013274:Stomach Neoplasms / Q000601:surgery*; D013997:Time Factors
Analisi dei risultati del trattamento chirurgico di 592 casi di cancro dello stomaco