Analysis of Patients Survived over Ten Years after Resection of Gastric Carcinoma

Objective To investigate factors affecting long|term survival in patients with resected gastric cancer. Mothods Survival was analyzed retrospectively in 777 patients with gastric carcinoma who received tumor resection from 1972 through 1989. Results The 10|year survival was 17 9%. The major factors influencing survival were clinical stage, tumor size, invading depth of tumor, status of lymph node metastasis, status of radical cure, position of tumor and degree of differentiation. Sex and age did not significantly affect survival. Conclusion Early detection, early diagnosis and early resection are the key to improve 10|year survival of patients with resected gastric cancer. Standard D-2 resection is necessary for early gastric cancer. For patients with far advanced gastric cancer(including stage ⅢB and Ⅳ), so far as condition is permissible, to select simply resect the primary focus of stomach by palliative operation. If there are no incurable factors, it should be done with extensive radical resection of gastric cancer with combined visceral resection in order to improve quality of life and prolong living period.