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一、胃癌的外科治疗1.胃和癌灶的切除大阪府立成人病中心外科1961～1973年的12年中共行胃切除1,368例,其中胃远侧切除1,021例(74.6%),胃近侧切除16例(1.2%),全胃切除331例(24.2%)。在胃癌向食道浸润的根治手术86例中,距切端0.5cm 以内发现有残留癌组织者16例,未残留者70例。两者切端癌的复发率分别为37.5%、7.1%,5年生存率分别为6.3%、27.1%,有明显差异。作者认为从癌的肉眼界限向上4～5cm 处切除食道最佳,如距1.0cm 处切断时,则发生残留癌的可能性较大。需特别注意本组小于0.5cm 处切断的9例中的口侧断端
First, the surgical treatment of gastric cancer 1. Stomach and cancer resection Osaka Prefectural Adult Center for Surgery 1961 to 1973 12 years of C-line gastrectomy 1,368 cases, including distal resection of the stomach 1,021 cases (74.6%), proximal gastric resection In 16 cases (1.2%), 331 cases (24.2%) had total gastrectomy. In 86 cases of gastric cancer invading the esophagus, there were 16 cases of residual cancer tissues within 0.5 cm from the incision end, and 70 cases without residual. The recurrence rates of the cut cancers were 37.5% and 7.1%, respectively, and the 5-year survival rates were 6.3% and 27.1%, respectively. There were significant differences. The author believes that the esophagus should be removed from the upper limit of the naked eye by 4 to 5 cm. If it is cut at a distance of 1.0 cm, residual cancer is more likely to occur. Special attention should be paid to the disconnection in 9 cases where the group is cut at less than 0.5cm.