SURGICAL-TREATMENT OF GASTRIC-CANCER - RETROSPECTIVE SURVEY OF 1,704 OPERATED CASES WITH SPECIAL REFERENCE TO TOTAL GASTRECTOMY AS THE OPERATION OF CHOICE

被引：37

作者：

MEYER, HJ

JAHNE, J

WILKE, H

PICHLMAYR, R

机构：

[1] Klinik Für Abdominal Transplantationschirurgie, Hannover, 3000

[2] Klinik für Hämatologie and Onkologie, Medizinische Hochschule Hannover, Hannover, 3000

来源：

SEMINARS IN SURGICAL ONCOLOGY | 1991年 / 7卷 / 06期

关键词：

GASTRIC CARCINOMA; SURGICAL PROCEDURES; SURVIVAL RATES;

D O I：

10.1002/ssu.2980070607

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Total gastrectomy is discussed as the operation of choice among different surgical approaches for gastric carcinoma. We prefer the performance of an elective total gastrectomy with systematic lymphadenectomy (compartments I and II) and obligatory splenectomy. A retrospective study of 1,704 consecutive cases of gastric carcinomas showed a better outcome following total gastrectomy in relationship to distal subtotal gastrectomy, but these results cannot be used as evidence because of the lack of a prospective study. Nevertheless, a precise analysis of our cases in regard to tumor site and tumor type could show a frequency of only 6% to maximally 30%, in which elective total gastrectomy may represent a procedure too extensive to justify for an oncological course.

引用

页码：356 / 364

页数：9

共 50 条

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