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

✍ Scribed by H.-J. Meyer; J. Jahne; H. Wilke; R. Pichlmayr

• Publisher: John Wiley and Sons
• Year: 1991
• Tongue: English
• Weight: 778 KB
• Volume: 7
• Category: Article
• ISSN: 8756-0437
• DOI: 10.1002/ssu.2980070607

✦ Synopsis

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 11) 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.