[Hungarian surgeons and surgical treatment of stomach cancer at the turn of the Millennium. I. Extent of stomach resection].
Authors interviewed the most prestigeous Hungarian surgical clinics and departments about the operative treatment of gastric cancer using question form. Forty-seven of the involved 51 clinics and departments filled out and sent the questionnaires back. 68.5 per cent of the gastric resections were performed by 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 on the organ. Only 5 out of 47 clinics and departments are satisfied with 2-3 cm long resection distance proximally from the tumor, 25 of 47 answering institutes aimed to 4-6 cm and 15 of them think that more than 6 cm is necessary. In case of antral tumor 2 departments perform total gastrectomy. Seventeen clinics and departments perform subtotal resection in case of antral tumor. Seventeen institutes decide to perform subtotal or total gastrectomy depending on the preoperative histology. Thirty-two departments perform total gastrectomy in case of mid-third tumors, and 15 of them perform subtotal gastrectomy if the resection distance is adequate. The necessity of total gastrectomy is generally accepted in case of tumors in the proximal third. Only two departments perform proximal resections regularly and 8 departments perform that in selected cases. Describing 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 / Q000379:methods*; D006801:Humans; D006814:Hungary; D008197:Lymph Node Excision; D008207:Lymphatic Metastasis; D011446:Prospective Studies; D016032:Randomized Controlled Trials as Topic; D013274:Stomach Neoplasms / Q000473:pathology* / Q000601:surgery*; D011795:Surveys and Questionnaires