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在1970～1990的21年期间内,作者共治疗6589例胃癌病人。共中,晚期(IIII0 IV期)胃癌病人占总数的76.6%。统计学分析表明,对胃癌病人术后预后引起主要影响的因素为淋巴结转移(P=0.001)及癌肿侵入胃壁的深度(P=0.004)。6589例胃癌病人的平均可手术性为44%,其中行胃次全切除术率为58%,胃全切或超全切术率为24%。全胃切除术适於Borrmonn 1V型,贲门或胃底癌,及印戒细胞癌和其它低分化癌。作者提出,为达到治愈性手术的目标,术中有3个要点:(1)对晚期胃癌,切缘距肿瘤缘至少6cm,对早期胃癌,切缘
During the 21-year period from 1970 to 1990, the authors treated a total of 6589 patients with gastric cancer. A total of 76.6% of the patients had gastric cancer in the intermediate and advanced stage (IIII0 stage IV). Statistical analysis showed that the main factors affecting the postoperative prognosis of gastric cancer patients were lymph node metastasis (P=0.001) and the depth of cancer invasion into the stomach wall (P=0.004). The mean operability of 6589 patients with gastric cancer was 44%, of which subtotal gastrectomy was 58% and total gastric bypass or total gastrectomy was 24%. Total gastrectomy is suitable for Borrmonn type 1V, cardia or fundocarcinoma, and signet-ring cell carcinoma and other poorly differentiated carcinomas. The authors propose that in order to achieve the goal of curative surgery, there are three main points in the operation: (1) For advanced gastric cancer, the margin of the incision is at least 6cm from the edge of the tumor, and for early gastric cancer, the margin of resection