| アイテムタイプ |
紀要論文 / departmental bulletin paper(1) |
| 公開日 |
2025-07-07 |
| タイトル |
|
|
タイトル |
Transition of operative procedures for gastric cancer |
|
言語 |
en |
| 作成者 |
Tanaka, Akira
Okuno, Kiyotaka
Shigeoka, Hironori
Koh, Kenzoh
Watatani, Masahiro
Funai, Sadao
Yasutomi, Masayuki
|
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
主題 |
gastric cancer, lymph node dissection, reconstructive procedure for gastrectomy |
| 内容記述 |
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|
内容記述タイプ |
Abstract |
|
内容記述 |
We reviewed the transition of procedures for operation/reconstruction and lymph node dissection of 1,469 patients who underwent gastrectomy for gastric cancer for 21 years. Furthermore, we investigated the effect these procedures had on prognosis. Gastrectomy was performed on 75.6% of the patients in Term I (1975-1980) and 90% in Terms II (1981-1985) and later (P<0.01). Curative resection was performed on 69% of the patients in Terms I and II and increased to 79% in Terms III (1986-1990) and IV (1991-1995) (P<0.01). Reconstructive procedures employed for distal gastrectomy included Billroth I and IIa, the former being used more frequently in Terms III/IV than Terms I/II. In Terms I and II, Tl invasion was in the 20% range, but increased to 40% in Term III and 45.7% in Term IV. In Terms I and II, 30-40% of lymph node dissections were of D2 and D3,while more dissections were of D1 and D2 in Terms III and IV. The 5-year survival rates in advanced cancer patients were : 48.3% in Term I, 48.5% in Term II, 50.7% in Term III, and 69.8% in Term IV, indicating significantly marked improvement in prognosis. The improvement of prognosis in Term IV despite the decrease in lymph node dissections attributed to appropriate procedure selection for gastrectomy and lymph node dissection. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
The Kinki University Medical Association |
|
言語 |
en |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 出版タイプ |
|
|
出版タイプ |
AM |
|
出版タイプResource |
http://purl.org/coar/version/c_ab4af688f83e57aa |
| 収録物識別子 |
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|
収録物識別子タイプ |
PISSN |
|
収録物識別子 |
03866092 |
| 開始ページ |
|
|
開始ページ |
283 |
| 終了ページ |
|
|
終了ページ |
288 |
| 書誌情報 |
en : ACTA MEDICA KINKI UNIVERSITY
巻 21,
号 4,
p. 283-288,
発行日 1996-12
|
AA0050842X-19961200-0283.pdf (407.9 KB)
