title: [Long-term results of surgical treatment of early cancers of the stomach].
abstract: The postoperative course of 172 patients with early gastric cancer operated between 1974 and 1987 was reviewed with a median follow-up of 7 years. The survival probability at the end of 1989 was 0.916 (excluding operative mortality and other causes of death) or 0.876 when the operative mortality was included. Univariate analysis showed a significant survival difference according to the presence or absence of submucosal invasion (p = 0.02, Log-Rank test) and lymph node invasion (p = 0.04, age greater than or less than 50 years (p = 0.03) and according to the type of resection performed (total gastrectomy with gastric and perigastric lymph node dissection or subtotal gastrectomy with incomplete lymph node dissection (p = 0.05). Eleven patients died from cancer recurrence, one is still alive with a recurrence of the gastric stump. The other deaths were due to cancers of other organs (6), cardiovascular disease (2), pneumonia (3), septicaemia (1) and a car accident. Although the prognosis of early gastric cancer is relatively favourable in European countries, patients must be carefully followed for a long period because of recurrences and the high incidence of cancers in other organs.
authors.affiliation: Département de Chirurgie, Université de L'Aquila, Italie.
authors.forename: S
authors.initials: S
authors.lastname: Guadagni
authors.forename: M
authors.initials: M
authors.lastname: Catarci
authors.forename: M
authors.initials: M
authors.lastname: Valenti
authors.forename: R
authors.initials: R
authors.lastname: Verzaro
authors.forename: G
authors.initials: G
authors.lastname: Carducci
authors.forename: P
authors.initials: P
authors.lastname: Gola
authors.forename: E
authors.initials: E
authors.lastname: Mancini
authors.forename: F
authors.initials: F
authors.lastname: Di Orio
authors.forename: P
authors.initials: P
authors.lastname: Torchio
authors.forename: G
authors.initials: G
authors.lastname: De Bernardinis
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016099:Endoscopy, Gastrointestinal; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*
vernacular_title: Résultats à long terme du traitement chirurgical des cancers précoces de l'estomac.