Results of primary surgical treatment of gastric carcinoma.
During the period 1958 to 1968 inclusive, 238 patients were subjected to primary surgical treatment for gastric carcinoma. On the basis of Hoerr's classification, this material has been subdivided into a group operated on with palliative intention and a group operated on with curative intention. The latter group accounted for only 31.5% of the entire series. The postoperative mortality rate in the series as a whole amounted to 18.5%, and the rate of five-year survival to 16.2%. The proportion of resectability was 53.8%. Sixty-four patients were subjected to total gastrectomy, and in 50% of them this was done with palliative intention. During the period 1964 to 1968 inclusive, postoperative mortality was 5.9% for subtotal and 8.8% for total gastrectomy. The rates of five-year survival during the entire period for the groups operated on with curative intention amounted to 46.5% and 40.6% respectively, postoperative mortality included. At the time of writing, 25 patients are still alive, with periods of survival of longer than 15 years.
D000328:Adult; D000368:Aged; D000469:Alkaline Phosphatase / Q000097:blood; D004796:Clinical Enzyme Tests; D005260:Female; D005743:Gastrectomy / Q000379:methods; D006801:Humans; D008297:Male; D008875:Middle Aged; D009362:Neoplasm Metastasis; D011379:Prognosis; D012075:Remission, Spontaneous; D012737:Sex Factors; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000401:mortality
D000469:Alkaline Phosphatase