Summary
In principle, many authors advocate a radical surgical approach for early gastric cancer (gastrectomy on principle). Our own experience with subtotal gastrectomy (including N1 + N2 lymphadenectomy; limited resection even without groups 11, 12) shows that this method yields comparable results. With an operative mortality of 2%, the survival rate was 84.3% after 5 years and 70.5% after 10 years, instead of the predicted values of 82.8% and 63.4% respectively. Applied to the same age group without gastric carcinoma, this yields a 5-year survival rate of 101.8% and thus almost reaches Japanese standards.
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Marczell, A.P., Rosen, H.R. & Hentschel, E. Diagnosis and tactical approach to surgery for early gastric carcinoma: A retrospective analysis of the past 16 years in an Austrian General Hospital. Gastroenterol Jpn 24, 732–736 (1989). https://doi.org/10.1007/BF02774176
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DOI: https://doi.org/10.1007/BF02774176