title: Surgery for early gastric cancer: a European one-center experience.
abstract: Between 1972 and 1995 a total of 251 patients with early gastric cancer underwent resection in our department of surgery. At the time of the operation 10.8% of the patients were proved to have lymph node involvement, and two already had distant metastases. A subtotal gastric resection was performed in 59.8% of cases (n = 150), a total gastrectomy in 33.8% (n = 85), and either a proximal or an atypical resection in 6.4% (n = 16). Since 1985 subtotal distal resection and total gastrectomy were accompanied by a systematic lymphadenectomy of compartments I and II. The overall postoperative morbidity was 18.3%, and the hospital mortality, 4.9%; it was only 1.6% within the last decade. Concerning these short-term results there were no statistically significant differences between the different surgical procedures. The cumulative overall 5-year-survival rate was 82.6%. There was no statistically significant influence of either the different surgical procedures or the histologic types according to the Japanese classification of early gastric cancer.
authors.affiliation: Department of Surgery, Faculty for Clinical Medicine Mannheim, University of Heidelberg, Mannheim, Germany.
authors.forename: D
authors.initials: D
authors.lastname: Jentschura
authors.forename: C
authors.initials: C
authors.lastname: Heubner
authors.forename: B C
authors.initials: BC
authors.lastname: Manegold
authors.forename: B
authors.initials: B
authors.lastname: Rumstadt
authors.forename: M
authors.initials: M
authors.lastname: Winkler
authors.forename: M
authors.initials: M
authors.lastname: Trede
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005858:Germany; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016019:Survival Analysis