Surgical treatment of gastric cancer: retrospective survey of 1,704 operated cases with special reference to total gastrectomy as the operation of choice.

Abstract

Total gastrectomy is discussed as the operation of choice among different surgical approaches for gastric carcinoma. We prefer the performance of an elective total gastrectomy with systematic lymphadenectomy (compartments I and II) and obligatory splenectomy. A retrospective study of 1,704 consecutive cases of gastric carcinomas showed a better outcome following total gastrectomy in relationship to distal subtotal gastrectomy, but these results cannot be used as evidence because of the lack of a prospective study. Nevertheless, a precise analysis of our cases in regard to tumor site and tumor type could show a frequency of only 6% to maximally 30%, in which elective total gastrectomy may represent a procedure too extensive to justify for an oncological course.

• Authors: H J Meyer, J Jähne, H Wilke, R Pichlmayr
• Journal: Seminars in surgical oncology (Semin Surg Oncol) 1991 Nov-Dec Vol. 7 Issue 6 Pg. 356-64 ISSN: 8756-0437 [Print] United States
• PMID: 1759084 (Publication Type: Journal Article)

Topics

• Female
• Gastrectomy
• Germany (epidemiology)
• Humans
• Lymph Node Excision
• Male
• Middle Aged
• Retrospective Studies
• Splenectomy
• Stomach Neoplasms (mortality, surgery)
• Survival Analysis
• Survival Rate
• Time Factors
• Treatment Outcome