Resecabilidad y mortalidad operatoria de la gastrectomía subtotal y total en pacientes con cáncer gástrico avanzado, entre 1969 y 2004 / Evolution of resectability and mortality rates of total and subtotal gastrectomy for gastric cancer
Rev. méd. Chile
;
134(4): 426-432, abr. 2006. tab
Artículo
en Español
| LILACS
| ID: lil-428541
ABSTRACT
Background:
The only curative treatment for gastric cancer is its surgical excision associated to a lymph node dissection.Aim:
To study the evolution of resectability and operative mortality of total and subtotal gastrectomy for gastric cancer, in a period of 35 years. Material andmethods:
Review of medical records of 3000 patients with gastric cancer, operated between 1969 and 2004. Resectability and mortality of total and subtotal gastrectomy was compared in four successive periods (1969 to 1979, 1980 to 1989, 1990 to 1999 and 2000 to 2004).Results:
In the four periods there was a steady and significant increase in resectability rate from 49 to 85%. Mortality of total and subtotal gastrectomy decreased significantly from 17 to 2% and from 25 to 1%, respectively.Conclusions:
Resectability and mortality rates of total and subtotal gastrectomy have improved with time. Probably a better pre and postoperative care and the experience of the surgical team have an influence in this favorable change.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Neoplasias Gástricas
/
Adenocarcinoma
/
Gastrectomía
Tipo de estudio:
Estudio observacional
/
Factores de riesgo
Límite:
Humanos
País/Región como asunto:
America del Sur
/
Chile
Idioma:
Español
Revista:
Rev. méd. Chile
Asunto de la revista:
Medicina
Año:
2006
Tipo del documento:
Artículo
País de afiliación:
Chile
Institución/País de afiliación:
Universidad de Chile/CL
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