New aspects in the surgical treatment of gastric carcinoma--a comparative study of 1636 patients operated on between 1969 and 1982.
During the last 15 years in our department, the overall 5-year survival rate in patients with gastric cancer has increased from 20% to 30%. This improvement in prognosis is explained by three factors: (1) the reduction in surgical mortality, (2) an increase in the resectability rate, (3) the introduction of a histology-oriented surgical approach that takes account of the differences in growth behaviour between the intestinal and diffuse types of carcinoma as defined by Laurén. A further new aspect in gastric cancer surgery is the concept of extended lymph node dissection.
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FP
Gall
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P
Hermanek
D005743:Gastrectomy / Q000379:methods / Q000401:mortality*; D006801:Humans; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis / Q000517:prevention & control; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D009367:Neoplasm Staging; D010166:Palliative Care; D011379:Prognosis; D013274:Stomach Neoplasms / Q000145:classification / Q000473:pathology / Q000601:surgery*