Prognose van het (vroege) carcinoom van de maag

– In this retrospective study, the results were analysed of the treatment of a group of 235 consecutive patients with gastric cancer admitted in 1978-1984. Curative resection was performed in 86 patients (36), 58 patients (25 )) undewent palliative resection. Thirty-five of the patients who underwent curative resection (40) were staged as EGC (early gastric cancer). The 30-day mortality of curative resection was 5; that of patients with EGC was 3. There was no difference in mortality between total and subtotal (95) gastric resection. The cumulative 5-year survival was 49 after curative resection and 6 after palliative treatment. The cumulative 5-year survival in EGC was 79 (operative mortality included). Curative resection can be performed in about one-third of the patients with gastric cancer. Gastric resection can be performed with a reasonable morbidity and mortality. Total gastric resection was not associated with an increased risk.