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A Regional Study of 2,590 Patients Over a 27-Year Period

Markku V. Inberg, MD; Reijo Heinonen, MD; Veikko Rantakokko, MD; Sauli J. Viikari, MD

Arch Surg. 1975;110(6):703-707.

Abstract
A series of 2,590 gastric carcinoma patients were studied in Finland over a 27-year period, divided into three time periods. The proportion of patients not operated on dropped from 46% in period 1 to 20.7% in period 3. The proportion of patients receiving total or proximal gastrectomy rose from 0.9% to 23%. Resectability rose from 21,1% in period 1 to 45.1% in period 3, the most distinct improvement being noted in carcinoma of the cardia. The operative mortality of proximal or total gastrectomy was about 16%; for distal gastrectomy for cure, 4.8%. Five-year survival for curative subtotal gastrectomy rose from 23% in period 1 to 43% in period 3; for proximal or total gastrectomy, from 0 (only 9 were done in that period) to 30%. Despite the higher primary mortality, carcinoma of the cardia has a prognosis as good as that for carcinoma of the antrum.

Author Affiliations
From the Department of Surgery, University of Turku, Turku, Finland.

Footnotes
Accepted for publication Oct 27, 1974.

Reprint requests to Department of Surgery, University of Turku, SF-20520 Turku 52, Finland (Dr. Inberg).

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