Leistungen der Tumorchirurgie bei Tumoren des Magens

Definition of the Position of Surgery in the Treatment of Gastric Carcinoma at a Community Hospital

“…In our patients the average age was 67 years which corresponds to the literature [2,3]. Women were slightly older resembling the age distribution of the population in general [4], Just as in many other malignancies, the inci dence of gastric cancer is higher in men [2,4], The malefemale ratio is about 2:1. whereas it was 3:1 some decades ago.…”

“…Due to constant improvements in surgical techniques and perioperative management, the complication rate after gastrectomy is only slightly higher as compared to subtotal gastric resection [3]. In our patients an insuffi ciency at the esophagojejunal anastomosis was found in 3.7%.…”

“…In this study the disproportionately large number of pancreatic resections has not been taken into account. Consequently the discussion about the advan tages of radical lymph node dissection has come to an end in view of the proved benefit for patients with stage II and Ilia cancer, particularly as concerns for increased perio perative risks are not justified any more [3,9,22], There are still certain doubts whether a splenectomy is necessary to complete D2 lymphadenectomy in tumors located at the fundic or cardiac region of the stomach [25]. In this respect it is disputed to what extent postoperative morbidity and mortality are influenced negatively [26].…”