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随访１９８２年１月～１９９１年３月胃癌切除术病人１４８例，其中早期胃癌１６例，进展期胃癌１３２例。随访率８５．５％。全组均行次全或近全胃切除加Ｒ１～３淋巴结清扫术。结果提示：①生存率比较：早期胃癌Ｒ１与Ｒ２Ｐ＞０．０５。进展期胃癌Ｒ１与Ｒ２Ｐ＜０．０１；Ｒ１与Ｒ３Ｐ＜０．０５；Ｒ２与Ｒ３Ｐ＞０．０５。②病灶浸润深度与淋巴结转移程度呈正比，两者相辅提示病期预后。③肿瘤大小与生存率无统计学意义。④早期胃癌Ⅲ型生长、进展期胃癌浸润型生长预后最差。分析讨论表明：早期胃癌行次全胃切加Ｒ１、选择性Ｒ２淋巴结清扫为宜。进展期胃癌拟行距肿瘤５ｃｍ以上的次全或近全胃切加Ｒ_２、选择性Ｒ_３淋巴结清扫为宜。
Follow-up of 148 patients with gastric cancer from January 1982 to March 1991, including 16 cases of early gastric cancer and 132 cases of advanced gastric cancer. The follow-up rate was 85.5%. All patients underwent subtotal or near total gastrectomy plus R1~3 lymph node dissection. The results suggest that: 1 survival rate comparison: early gastric cancer R1 and R2P> 0.05. Progressive gastric cancer R1 and R2P<0.01; R1 and R3P<0.05; R2 and R3P>0.05. 2 The infiltration depth of the lesion is positively correlated with the degree of lymph node metastasis. 3 The tumor size and survival rate were not statistically significant. 4 Early gastric cancer type III growth, advanced gastric cancer invasive growth prognosis is the worst. Analysis and discussion showed that early gastric cancer should be performed with total R1 and selective R2 lymph node dissection. For patients with advanced gastric cancer, subtotal tumors with a distance of at least 5 cm above or near total gastrectomy plus R_2 and selective R_3 lymph node dissection are appropriate.