[The surgical treatment of stomach cancers. A review of 759 operations (author's transl)].
759 patients were studied, deriving from the Statistics of the Department from the last twenty years and the result of an inquiry sent out to the French members of the Collegium Internationale Chirurgiae Digestival. For 602 tumors of the cardia, the long term results of the upper gastrectomies were, inspite of area of non-invaded lymph nodes for 1/3 of the patients, the same for the two sources of statistics, with almost no survival after the fourth year. On the contrary, however, the percentages of survival of total gastrectomies "by choice" are 40 and 31% after five years. As for the cancers of the lower part, the result was not as precise and the apparent or proved non invaded state of lymph nodes during the operation make us rather tend towards a partial gastrectomy. (Combined with a mortality rate inferior to those of total gastrectomies). As for the total of gastric cancers, the total gastrectomies "by necessity" (eith by tumor growth or lymph tive therapy in a specialized center permit fifty per cent after five years, for the patients who would have been condemned by any other therapeutical act. The nutritional consequences of the total gastrectomies were studied and permitted to conclude that post operative therapy in a specialized center permit fifty per cent of the patients of work age to take up their professional activities again and, on the whole, sixty five per cent of them to have completely satisfactory independance.
D000230:Adenocarcinoma / Q000601:surgery*; D000328:Adult; D000368:Aged; D002299:Cardia / Q000601:surgery; D003967:Diarrhea / Q000209:etiology; D005500:Follow-Up Studies; D005743:Gastrectomy; D005764:Gastroesophageal Reflux / Q000209:etiology; D006801:Humans; D008875:Middle Aged; D009748:Nutrition Disorders / Q000209:etiology; D011178:Postgastrectomy Syndromes; D011708:Pylorus / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery*
Le traitement chirurgical des cancers de l'estomac. Bilan de 759 interventions.