[Surgical treatment of gastric cancer-personal results (author's transl)]

In the years from 1964 to 1973, 672 patients with gastric cancer were treated in the Surgical Department of Medical Academy Dresden. Tumors were located in the gastric antrum in 28.9%, in the cardia-fundus region in 28,1%, in the corpus ventriculi in 18.3%, and had involved the stomach totally in 18.6%. A resection was performed in 268 cases or 50.0%. Postoperative fatality rate was 20.1% but amounted to 30% in resection of the proximal part of the stomach and in total gastrectomy. The 5-year relative survival rate was 35.0% in distal partial gastrectomy, 10.4% in proximal partial gastrectomy, 8.2% in total gastrectomy, and 20.1% for all resections. Prognosis depends on local extension and on lymph node metastasis. Results are compared with data from the literature.