The gastric cancer is a common malignancy in Korea and has a high mortality rate. The number of stomach cancer is seemed to be increasing every year. We could made chart review of 559 cases of gastric cancer which were operated on the Department of Surgery, Hanyang University Hospital between 4th May 1972 and 31th December 1983. The results were as follows:
1. The age incidence was from 26 years old to 76 years old. Peak age incidence
was 5th decade (29.9%). Male patients were 2 times as many as female patients.
2. 303 patients (54.2%) were admitted to our hospital after 6 months of illness.
3. Chief complaints in order of frequency were as follows; epigastric pain (80.3%)indigestion (43.4%), and weight loss (42.9%). In physical examination, epigastricpalpable mass (23.8%) and epigastric tenderness (15.0%) were discovered.
4. The blood type in order of frequency were as follows; A type (41.7%), B type (22.9%) and 0 type (22.3%), AB type (13.1%).
5. In gastric acidity, achlorhydria and hypochlorhydria were found in 47.2% and 34.8% to each other.
6. At the examination of occult blood in stool, 90.1% of patients were positive.
7. 85 cases (57.4%) of patients were positive (above the level of 2.5ng/ml) in preoperative carcinoembryonic antigen.
8) In the radiologic examination (U.G.I. series) and gastrofiberscope, positive fin-
dings were found in 85.9% and 93.1% to each other.
9. The most common site of the tumor was lesser curvature of pyloroantral region(47.2%).
10. Regional lymph node metastasis `was seen in 68.7% of all cases and distant metastasis was seen in omentum, pancreas, mesocolon, liver in order of frequency.
11. In pathologic findings, the most common type was adenocarcinoma (97.0%).
12. The operative procedures performed for our cases were subtotal gastrectomy (78.5%), total gastrectomy (5.9%), exploration and biopsy (5.0%), by-pass pro-cedure (10.6%). So, resectability was 84.4%.
13. In the mean duration of postoperative hospital days, most patients (74.0%) were stayed below 2 weeks.
14. The postoperative complication in order of frequency was wound infection (5.2%) pneumonia (5.0%), intestinal obstruction (3.9%), etc.
15. Over all operative mortality was 1.4%.
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