Diagnosis and tactical approach to surgery for early gastric carcinoma: a retrospective analysis of the past 16 years in an Austrian general hospital.
In principle, many authors advocate a radical surgical approach for early gastric cancer (gastrectomy on principle). Our own experience with subtotal gastrectomy (including N1 + N2 lymphadenectomy; limited resection even without groups 11, 12) shows that this method yields comparable results. With an operative mortality of 2%, the survival rate was 84.3% after 5 years and 70.5% after 10 years, instead of the predicted values of 82.8% and 63.4%, respectively. Applied to the same age group without gastric carcinoma, this yields a 5-year survival rate of 101.8% and thus almost reaches Japanese standards.
Marczell
A P
AP
Department of Surgery, Hanusch Medical Center, Vienna, Austria.
Rosen
H R
HR
Hentschel
E
E
D001317:Austria; D006801:Humans; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*