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End Results of Surgical Treatment: German Experience

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Gastric Cancer

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Abstract

The cure rate for gastric carcinoma in Germany continues to be poor. Maximal 5-year survival rates, as a valid indicator of curability, are 10% [1], 11% [2], 13% [3], 16% [4], 17% [5], 22% [6], and 24% [7] and, in many cases, even worse. Japanese surgeons however, report survival rates at 5 years of 45% [8], 46% [9], 50% [10], and 62% [11]. It appears that the survival differences are due mainly to a greater frequency in diagnoses of early gastric cancer in Japan [12–14] and meticulous histopathologic evaluation of the surgical specimens [12], resulting in more accurate surgical and pathologic staging [6, 15–18], and the presumed benefit of systematic lymphadenectomy [11–14].

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References

  1. Becker HD (1981) Chirurgie des Magenkarizinoms. Therapiewoche 31: 3494–3500

    Google Scholar 

  2. Hildebrand J, Wündrich B, Herrmann U (1988) Chirurgische Verfahrenswahl beim Magenkarzinom in fortgeschrittenen Alter—eine retrospektive Untersuchung. Akt Chir 23: 202–206

    Google Scholar 

  3. Braun I (1988) Zur Prognose des Magenkarzinoms. Dtsch Med Wschr 113: 672–677

    Article  PubMed  CAS  Google Scholar 

  4. Bittner R, Schirrow H, Butters M, Roscher R, Krautzberger W, Oettinger W, Beger HG (1985) Total gastrectomy. Arch Surg 120: 1120–1125

    Article  PubMed  CAS  Google Scholar 

  5. Gall FP, Altendorf A, Hermanek P, Gentsch HH (1982) Chirurgische Therapie des Magenkarzinoms—Stagnation oder Fortschritt? Fortschr Med 100: 1876–1882

    PubMed  CAS  Google Scholar 

  6. Rohde H, Gebbensleben B, Bauer P, Stutzer H, Zieschang J (1989) Has there been any improvement in the staging of gastric cancer? Cancer 64: 2465–2481

    Article  PubMed  CAS  Google Scholar 

  7. Slislow W, Marx G, Seifart W, Staneczek W (1987) Argumentation für eine regionale Behandlung beim Magenkarzinom. Zentralbl Chir 112: 27–33

    Google Scholar 

  8. Kodama Y, Sugimachi K, Soejima K, Matsusaka T, Inokuchi M (1981) Evaluation of extensive lymph node dissection for carcinoma of the stomach. World J Surg 5: 241–248

    Article  PubMed  CAS  Google Scholar 

  9. Koga S, Kaibara N, Kishimoto H, Nishidoi H, Kimura O, Okamoto T, Tamura H (1982) Comparison of 5- and 10-year survival rates in operated gastric cancer patients. Langenb Arch Chir 356: 37–42

    Article  CAS  Google Scholar 

  10. Soga J, Kobayashi K, Saito J, Fujimaki M, Muto T (1979) The role of lymphadenectomy in curative surgery for gastric cancer. World J Surg 11: 418–425

    Google Scholar 

  11. Maruyama K, Okabayashi K, Kinoshita T (1987) Progress in gastric cancer surgery in Japan and its limits in radicality. World J Surg 11: 418–425

    Article  PubMed  CAS  Google Scholar 

  12. Noguchi Y, Imada T, Matsumoto A, Coit DG, Brennen MF (1989) Radical surgery for gastric cancer. Cancer 64: 2053–2062

    Article  PubMed  CAS  Google Scholar 

  13. Fielding JWL (1989) Gastric cancer: Different diseases. Br J Surg 76: 1227

    Article  PubMed  CAS  Google Scholar 

  14. Rohde H, Stutzer H, Bauer P, Heitmann K, Gebbensleben B, und die Deutsche Magenkarziom TNM Studiengruppe (1991) Das Magenfrühkarzinom im Vergleich zum fortgeschrittenen Magenkarzinom. Langenbecks Arch Chir 376: 16–22

    Article  PubMed  CAS  Google Scholar 

  15. Maruyama K, Miwa K (1987) Japanese staging system for gastric cancer. Evaluation and documentation of tumor extension. Scand J Gastroenterol 22 [Suppl 1231: 22–26

    Article  Google Scholar 

  16. Carr D (1983) Is staging of cancer of value? Cancer 51: 2503–2505

    Article  PubMed  CAS  Google Scholar 

  17. Kennedy BJ (1987) The unified international gastric cancer staging classification system. Scand J Gastroenterol 22 [Suppl 123]: 11–13

    Article  Google Scholar 

  18. Japanese Research Society for Gastric Cancer (1981) The general rules for the gastric cancer study in surgery and pathology. Jpn J Surg 11: 127–145

    Article  Google Scholar 

  19. Brennan MF (1989) Radical surgery for gastric cancer. Cancer 64: 2063

    Article  PubMed  CAS  Google Scholar 

  20. Cuschieri A (1986) Gastrectomy for gastric cancer: Definitions and objectives. Br J Surg 73: 513–514

    Article  PubMed  CAS  Google Scholar 

  21. Rohde H, Bauer P, Stutzer H, Vierzig A, Gebbensleben B (1987) Radikalität und Prognose: Ergebnisse der multizentrischen chirurgisch-pathologischen MagenkarzinomTNM-Studie. Langenbecks Arch Chir 372: 599–602

    Google Scholar 

  22. Rohde H, Bauer P, Stutzer H, Heitmann K, Gebbensleben B, and the German Gastric Cancer TNM Study Group (1991) Proximal compared with distal adenocarcinoma of the stomach: Differences and consequences. Br J Surg 78: 1242–1248

    Google Scholar 

  23. Rohde H, Troidl H (eds) (1984) Das Magenkarzinom. Methodik klinischer Studien und therapeutischer Ansätze. Thieme, Stuttgart

    Google Scholar 

  24. AJCC (1987) Manual of staging of cancer, 3rd edn. J.B. Lippincott, Philadelphia

    Google Scholar 

  25. UICC (1987) TNM classification of malignant tumors, 4th edn. Springer, Heidelberg New York Tokyo

    Google Scholar 

  26. Laurin P (1965) The two histologic main types of gastric carcinoma: Diffuse and so-called intestinal type carcinoma. Acta Pathol Microbiol Scand 64: 31–49

    Google Scholar 

  27. UICC (1978) TNM classification of malignant tumors, 3rd edn. Springer, Heidelberg Berlin New York Tokyo

    Google Scholar 

  28. BMDP Statistical Software (1985) University of California Press

    Google Scholar 

  29. Rohde H (ed) (1987) Gastric cancer. Importance of surgical staging, tumor pathology and quality of life. Scand J Gastroenterol 22 [Suppl 1231: 1–106

    Google Scholar 

  30. Allum WH, Roginski C, Fielding JWL (1986) Adenocarcinoma of the cardia: A ten year regional view. World J Surg 10: 462–467

    Article  PubMed  CAS  Google Scholar 

  31. Weed TE, Nuessle W, Ochsner A (1981) Carcinoma of the stomach: Why are we failing to improve survival? Ann Surg 193: 407–413

    Article  PubMed  CAS  Google Scholar 

  32. Nielsen J, Aagaard J, Toftgard C (1985) Gastric cancer with special reference to prognostic factors: A review of 799 cases. Acta Chir Scand 151: 49–55

    PubMed  CAS  Google Scholar 

  33. Japanese Research Society for Gastric Cancer (1985) Allgemeine Richtlinien für Chirurgie und Pathologie der Japanischen Magenkarzinomstudie. Der Chirurg 56: 539–546

    Google Scholar 

  34. Plukker JTM, Kampschöer GHM (1990) Extended lymph node dissection for gastric cancer: A challenge for better survival results. Neth J Surg 42: 3–7

    PubMed  CAS  Google Scholar 

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Author information

Authors and Affiliations

  1. Friesenplatz 17a, D-50672, Köln 1, Germany

    Henning Rohde

Authors
  1. Henning Rohde
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The German Gastric Cancer TNM Study Group

Editor information

Editors and Affiliations

  1. Cancer Institute Hospital, 1-37-1 Kami-Ikebukuro, Toshima-ku, Tokyo, 170, Japan

    Mitsumasa Nishi M.D.

  2. National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104, Japan

    Heizaburo Ichikawa M.D.

  3. Department of Surgery, Cancer Institute Hospital, 1-37-1 Kami-Ikebukuro, Toshima-ku, Tokyo, 170, Japan

    Toshifusa Nakajima M.D.

  4. Gastric Surgery Division, National Cancer Center Hospital, 5-1-1 Tsukiji, Chuo-ku, Tokyo, 104, Japan

    Keiichi Maruyama M.D.

  5. Department of Pathology, Hiroshima University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima, 734, Japan

    Eiichi Tahara M.D.

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© 1993 Springer Japan

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Rohde, H., The German Gastric Cancer TNM Study Group. (1993). End Results of Surgical Treatment: German Experience. In: Nishi, M., Ichikawa, H., Nakajima, T., Maruyama, K., Tahara, E. (eds) Gastric Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68328-5_26

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  • DOI: https://doi.org/10.1007/978-4-431-68328-5_26

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68330-8

  • Online ISBN: 978-4-431-68328-5

  • eBook Packages: Springer Book Archive

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