{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-HBILGWAU/e722638e-33e9-4546-bbf2-798f854e907a/PDF","dcterms:extent":"184 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-HBILGWAU/4cba2b67-aae1-453d-8d07-cbb94abc3836/TEXT","dcterms:extent":"58 KB"}],"edm:TimeSpan":{"@rdf:about":"1994-2025","edm:begin":{"@xml:lang":"en","#text":"1994"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-HBILGWAU","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-46R7GGHL"},{"@xml:lang":"sl","#text":"Medicinski razgledi"}],"dcterms:issued":"2010","dc:creator":["Jagrič, Tomaž","Krebs, Bojan","Potrč, Stojan"],"dc:format":[{"@xml:lang":"sl","#text":"številka:4"},{"@xml:lang":"sl","#text":"letnik:49"},{"@xml:lang":"sl","#text":"str. 525-541"}],"dc:identifier":["ISSN:0025-8121","COBISSID:3820607","URN:URN:NBN:SI:doc-HBILGWAU"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Medicinski razgledi"},"dc:subject":[{"@xml:lang":"en","#text":"Adenocarcinoma"},{"@xml:lang":"sl","#text":"Adenokarcinom"},{"@xml:lang":"en","#text":"diagnostika"},{"@xml:lang":"sl","#text":"Epidemiologija"},{"@xml:lang":"en","#text":"epidemiology"},{"@xml:lang":"en","#text":"Gastrectomy"},{"@xml:lang":"sl","#text":"Gastrektomija"},{"@xml:lang":"sl","#text":"Kirurgija"},{"@xml:lang":"sl","#text":"kirurško zdravljenje"},{"@xml:lang":"en","#text":"pathology"},{"@xml:lang":"sl","#text":"Patologija"},{"@xml:lang":"sl","#text":"Preživetje, analiza"},{"@xml:lang":"en","#text":"Prognosis"},{"@xml:lang":"sl","#text":"Prognoza"},{"@xml:lang":"sl","#text":"rak (medicina)"},{"@xml:lang":"en","#text":"Stomach Neoplasms"},{"@xml:lang":"en","#text":"surgery"},{"@xml:lang":"en","#text":"Survival Analysis"},{"@xml:lang":"sl","#text":"želodec"},{"@xml:lang":"sl","#text":"Želodec, novotvorbe"},{"@rdf:resource":"http://www.wikidata.org/entity/Q827390"}],"dcterms:temporal":{"@rdf:resource":"1994-2025"},"dc:title":{"@xml:lang":"sl","#text":"Žlezni rak želodca s kirurškega vidika| Surgical aspects in gastric adenocarcinoma|"},"dc:description":[{"@xml:lang":"sl","#text":"Gastric cancer is the fifth most prevalent male cancer and the sixth most prevalent female cancer. Although its prevalence is slowly declining in western countries, the montality associated with it is still high and even reaches the incidence found in some endemic areas. These facts are daunting, especially considering the fact that in the majority of cases in Slovenia diagnosis is still made in a desperate stage. A slightly positive trend toward early diagnosis has been seen in recent years, but these patients represent less than a quarter of all cases. The multimodal approach to treatment has enabled long term survival of gastric cancer patients. In specialized centers, the 10-year survival after curable resections has been reported to be 36 %. These outstanding results are also matched in Slovenia, owing to interdisciplinary cooperation, continuous education, keeping up with oncological trends, and, finally, our own research. At the undisputed top are the Japanese with a cumulative 5-year survival of 70 %. Their results are a milestone that will be difficult for others to reach and the reasons for this are diverse. In the following article, the authors provide a comprehensive overview of gastric cancer disease from the surgical perspective, substantiated by experiance from the treatment of 772 patients at the Maribor University Clinical Centre in the period from 1 January 1992 to 31 July 2009. In 657 cases, R0 resection was accomplished and the 5-year survival for the studied 18-year period in patients with curable resection amounted to 42 %"},{"@xml:lang":"sl","#text":"Rak želodca je peto najpogostejše rakavo obolenje pri moških in šesto najpogostejše rakavo obolenje pri ženskah. Pojavnost je v razvitem zahodnem svetu v upadu, kljub vsemu pa je umrljivost za to boleznijo še vedno precej velika in na določenih endemskih področjih dosega celo stopnjo pojavnosti. Vsa ta dejstva so zastrašujoča, še posebej, če pomislimo, da v Sloveniji to obliko raka pogosto odkrijemo v poznih stadijih. Šele v zadnjih letih je bil opazen majhen pozitiven trend pri zgodnjem odkrivanju, kljub temu pa zgodnje oblike te bolezni še vedno predstavljajo manj kot četrtino vseh primerov. Združevanje različnih načinov zdravljenja je omogočilo bolnikom dolgoročno preživetje. Tako iz specializiranih centrov poročajo tudi o 10-letnem preživetju pri 36 % bolnikov, ki so jim zaradi raka želodca opravili resekcijo v zdravo. Tudi v Sloveniji se bližamo takšnim vrednostim, ravno zaradi sodelovanja specialistov različnih strokovnosti, nenehnega izpopolnjevanja, uvajanja svetovnih onkoloških novosti, navsezadnje pa tudi zaradi lastnih raziskovalnih dosežkov. Še vedno ostajajo na osamljenjem vrhu Japonci (navajajo do 70 % 5-letno preživetje po resekcijah želodca) in zdi se, da so mejnik, ki ga bo težko doseči, razlogov za to pa je več. V pričujočem prispevku so avtorji opravili celostni pregled na področju raka želodca s kirurškega vidika in ga podkrepili z rezultati kirurškega zdravljenja 772 bolnikov z rakom želodca v Univerzitetnem kliničnem centru Maribor, ki so se zdravili v obdobju od 1.1.1992 do 31.7.2009. Pri 657 bolnikih je bila napravljena R0-resekcija. Pričakovano 5-letno preživetje bolnikov z R0-resekcijo je bilo za celotno 18-letno obdobje 42 %"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-HBILGWAU","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-HBILGWAU"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-HBILGWAU/e722638e-33e9-4546-bbf2-798f854e907a/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Društvo Medicinski razgledi"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-HBILGWAU/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-HBILGWAU"}}}}