[Hungarian surgeons and surgical treatment of stomach cancer at the turn of the Millennium. II. Regional extension of the resection].
Authors interviewed the most considerable Hungarian surgical clinics and departments about the operative treatment of gastric cancer using a question form. Forty-seven of 51 clinics and departments sent the questionnaires back. 68.5 per cent of the gastric resections were performed in these clinics and departments in 1999. The main purpose of this paper was to show how the Hungarian surgeons decide the extension of the resection outside of the stomach. Extended lymphadenectomy is performed in 43 clinics and departments. Twenty-three institutes described splenectomy to be necessary in case of cardiac or upper third tumors and 21 clinics and departments perform it in case of suspicious hilar lymph nodes. Combined, extended operation is performed if the tumorous infiltrates surrounding organs in 38 institutes if radical resection is feasible, and 8 clinics and departments perform it as palliation as well. Showing the results of prospective randomised studies we analyse the answers of the questionnaires. Our opinion is not described here. In addition to demonstrating the Hungarian situation we would like our readers to compare their own practice with the principles of other authors.
Szücs
Géza
G
Miskolc megyei jogú Város Onkormányzata Semmelweis Kórház Altalános Sebészeti és Mellkassebészeti Osztály.
Tóth
Imre
I
Gyáni
Károly
K
Kiss
János István
JI
D002173:Cancer Care Facilities / Q000706:statistics & numerical data; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D006814:Hungary; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*; D011795:Surveys and Questionnaires