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November 11, 1939

End-Results in the Treatment of Gastric Cancer: An Analytical Study and Statistical Survey of Sixty Years of Surgical Treatment

JAMA. 1939;113(20):1834. doi:10.1001/jama.1939.02800450056029

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This book is a statistical survey and analytic study of the surgical treatment of cancer of the stomach. The history of the surgical attack on this dread condition, as it has been revealed in medical literature, is traced in detail from the first successful gastrectomy by Billroth in 1881. The previous history is briefly reviewed and the authors come quickly to a minute consideration of the Therapeutic Era, which began over a half century ago. The first "classic study of Welch" (1885) is reviewed, which contained the pessimistic summary that "no patients subjected to resection survived longer than a year and a half." Some of the later reports are then surveyed and, comparing reports, Livingston and Pack pose the arresting question: "How could there be but three five year survivals in the quarter century in so prominent an institution as the Johns Hopkins Hospital up to 1915, then a report

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