山口医学

Back to Top

山口医学 Volume 51 Issue 3
published_at 2002-06-30

Surgical outcomes for gastric cancer in Yamaguchi Rosai Hospital

山口労災病院外科における胃癌手術切除症例の検討
Kawano Kazuaki
Katoh Tomoe
Nomura Shinji
Kuga Takayuki
Morita Nobuyoshi
fulltext
541 KB
B030051000302.pdf
Descriptions
In Yamaguchi Rosai hospital, 414 out of 453 patients diagnosed as having gastric cancers underwent a gastrectomy during a recentl2-year period from 1989 to 2000. In this study, we investigated surgical outcomes of these operated patients. Three patients (0.7%) died postoperatively. Five-year survival rates according to stage classification were :100% in stage I a, 93.6% in I b, 75.9% in II, 57.0% in Lila, 20.3% in III b, 12.2% in IV a, and 0% in Nb. Five-year survival rates of according to depth of tumor invasion were 100% in m, 96.2% in sin, 88.1% in mp, 67.5% in ss, 34.3% in se, and 23.9% in si. Five-year survival rate of according to lymphnode metastasis were : 96.0% in n0, 73.4% in ni, 21.4% in n2, and 0% in n3. These factors were compared to the results obtained in 18 representative institutions and hospitals in Japan in 1999. Although five-year survival rates in stage Nb cancer in our hospital were inferior to those institutions and hospitals, five-year survival rates in stage I ~ IV Na, T1 ~ T4, and n1~3 tumors were superior or comparable. It is thought that some aggressive adjuvant therapy is necessary for patients with stage IV b gastric cancer in the hospital.
Creator Keywords
胃癌切除手術
5年生存率
深達度
リンパ節転移
化学療法
Rights
本文データは山口大学医学会の許諾に基づきCiNiiから複製したものである