[Prospective multicenter trial of gastric cancer surgery--a contribution to clinical research on quality control].
By the mean of a prospective multicenter observational study (East German Gastric Cancer Study - EGGCS), 1 139 consecutive patients with gastric cancer were enrolled in 80 East German surgical departments from January 1 to December 31, 2002. Out of them, 1,031 (90.5%) underwent surgical intervention. The resection rate was 86.4% (n = 891); the R0 resection rate (n = 726) was 81.5%. Gastrectomy was performed in 79.8 % (n = 649) of subjects with radical resections (n = 813). In approximately 70 % of the interventions with curative intention, lymph node resection of the D2 compartment was carried out. The postoperative hospital mortality was 8.3%. The results were compared with the data obtained in the German Gastric Cancer Study (GGCS 1992); relevant differences and aspects were discussed.
Meyer
L
L
Ostdeutsche Arbeitsgruppe für Qualitätssicherung und regionale Entwicklung in der Chirurgie e. V. L.Meyer@ctk.de
Steinert
R
R
Nowak
L
L
Gellert
K
K
Ludwig
K
K
Saeger
D
D
Gastinger
I
I
Lippert
H
H
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004943:Esophagogastric Junction / Q000473:pathology; D005743:Gastrectomy / Q000379:methods; D005773:Gastroscopy; D005858:Germany; D017052:Hospital Mortality; D006801:Humans; D010535:Laparoscopy; D007813:Laparotomy; D008197:Lymph Node Excision; D008875:Middle Aged; D009367:Neoplasm Staging; D010166:Palliative Care; D011183:Postoperative Complications; D011446:Prospective Studies; D011786:Quality Control; D011787:Quality of Health Care; D013270:Stomach / Q000473:pathology; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D011795:Surveys and Questionnaires