| 위선암 354예의 수술 성적 |
| 정경석, 문성하, 신현욱, 이영철, 김주섭, 정봉화, 이재정, 박철재, 전용철, 이명석, 김우중 |
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| End Results of Surgical Treatment of 354 Patients with Gastric Adenocarcinoma |
| Kyung Suk Chung, Sung Ha Moon, Hyun Wook Shin, Young Cheol Lee, Joo Seop Kim, Bong Wha Chung, Jae Jung Lee, Chul Jae Park, Young Cheol Jeon, Myung Seok Lee, Woo Joong Kim |
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| ABSTRACT |
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The surgical results of 354 patients with gastric adenocarcinoma treated at the Department of Surgery, Kangnam Sarced Heart Hospital, Hallym University from l984 to 1993 were report- ed. The survival rate of the 354 patients was compared with reference to categories of prognostic factors(univariate analysis) and significant factors affecting survival were identified by multivariate analysis using the Cox's proportional hazard model. The resection rate was 93.5% and the operative mortality within 1 month was 2.5%. The 5- year survival rates were 49.2% for the entire group of patients, 52.0% for patients who under-went resection, 72.3% for patients who underwent curative resection, and 18.4% for patients who underwent palliative resection. The 5-year survival rates according to the TNM stage were 85.4% for stage I, 56.0% for stage II, 38.2% for stage III, and 10.3% for stage IV. Univariate analyses showed a significant difference in survival in relation to age, primary tumor factor(T), reaional lymph node factor(N), distant metastasis factor(M), macroscopic type, size of tumor, type of operation, TNM stage and curability of surgery. Multivariate analysis using the Coxs proportional hazard model in a stepwise fashion identified a final set of three significant variab1es: curability of surgery(P=0.0002), TNM stage(P=0.0007), and macroscopic type(P=0.0008). These results suggest that continuing efforts to increase rate of less advanced cancers and curative resection with systematic lymph node dissection in advanced cancers are necessary for an improvement of the end results of surgical treatment. |
| Key words:
Gastric adenocarcinoma, Surgical treatment, Survival rate |
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