J.Jpn. Surg. Soc.. 80(12): 1466-1468, 1979

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Report on the annual meeting

LIMIT OF SURGICAL TREATMENT FOR GASTRIC CANCER

For the increasing of curability for advanced cancer, combined resection of adjacent organ around the stomach is neccessary Various combined resection was carried out on 1851 cases, and operative mortality was 4.3% and 5 year survival rate was 26% (344/1310). 5 year survival rate of pancreatosplenectomy, colon resection, liver resection and resection of esophagus with thoracotomy was about 30% except the low 5 year survival rate (6%) of pancreato-duodenectomy. Combined resections with gastrectomy become safety and their prognosis is fairly good, so combined resection should be carried out aggresively.
About the lymph node dissection, 5 year survival rate was 9% for cases with metastasis to 3rd group lymph node (R₃=n₃, R₂＜n₃), and 5 year survival cases were found mainly in carcinoma of the lower stomach. About the cases with metartasis to para-aortic lymph nodes, complete dissection of lymph nodes has resulted in 8% (7/83) of 5 year survival rate.

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