Zhonghua zhong liu za zhi [Chinese journal of oncology] · 1998
[Surgical treatment results for carcinoma of the gastric cardia in 1832 cases].
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Zhang R, Fang D, Zhang D
Аннотация
OBJECTIVE: To evaluate the results of surgical treatment for carcinoma of the gastric cardia and the prognostic factors.
METHODS: The prognostic factors were assessed with 5-year survival rates which was estimated using life table method in 1832 cases. The difference between groups was assessed by the log rank test.
RESULTS: The overall resection rate was 76.3% and the radical resection rate 53.4%. The overall 5-year survival rate was 23.5% while in patients treated with curative resection it was 29.9%. The 5-year survival rate was 29.4% in patients received preoperative radiation and 21.5% in patients treated with surgery alone (P > 0.05). Patients whose upper margin of resection was longer than 5 cm away from the tumor had higher 5-year survival rate (25.8%) than those with margin of resection less than 5 cm (18.4%). The difference was statistically significant (P < 0.05).
CONCLUSION: Preoperative radiation can increase the survival rate, but it was not statistically significant. Increasing the margin of resection to > 5 cm can improve survival.
METHODS: The prognostic factors were assessed with 5-year survival rates which was estimated using life table method in 1832 cases. The difference between groups was assessed by the log rank test.
RESULTS: The overall resection rate was 76.3% and the radical resection rate 53.4%. The overall 5-year survival rate was 23.5% while in patients treated with curative resection it was 29.9%. The 5-year survival rate was 29.4% in patients received preoperative radiation and 21.5% in patients treated with surgery alone (P > 0.05). Patients whose upper margin of resection was longer than 5 cm away from the tumor had higher 5-year survival rate (25.8%) than those with margin of resection less than 5 cm (18.4%). The difference was statistically significant (P < 0.05).
CONCLUSION: Preoperative radiation can increase the survival rate, but it was not statistically significant. Increasing the margin of resection to > 5 cm can improve survival.