Open AccessClinical Correlates of Resectability and Survival in Gastric Carcinoma
Author(s) -
Thomas W. Buchholtz,
Claude E. Welch,
Ronald A. Malt
Publication year - 1978
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197812000-00001
Subject(s) - medicine , gastroenterostomy , survival rate , surgery , 5 year survival rate , gastric carcinoma , carcinoma , overall survival , stomach , gastrectomy , cancer , general surgery
The course of 201 patients with carcinoma of the stomach treated from 1962 through 1966 was followed with 97% determinacy for 10 years. The actual five year survival rate was 11%; the ten year rate was 7%. The mean duration of survival was 5.8 +/- 2.7 (S.D.) months. These results were similar to those reported for the period 1922-1926. Survival was strongly correlated with the surgeon's assessment after exploration. All patients alive after five years had operations thought to be curative, usually partial gastrectomies; the survival rate of this group was 24%. Gastroenterostomy was ineffectual palliation. Better results will require nonsurgical adjuncts, since the correlates of survival are those of minimally invasive cancer.