Open AccessTotal Versus Subtotal Gastrectomy for Adenocarcinoma of the Gastric Antrum
Author(s) -
Gouzi Jl,
M Huguier,
PierreLouis Fagniez,
B Launois,
Y Flamant,
François Lacàine,
Jean-Christophe Paquet,
JeanMarie Hay
Publication year - 1989
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-198902000-00005
Subject(s) - medicine , linitis plastica , antrum , gastrectomy , adenocarcinoma , gastroenterology , gastric antrum , survival rate , surgery , stomach , significant difference , cancer
In a multicentric trial the postoperative mortality and the 5-year survival of elective total gastrectomy (TG) was compared with subtotal gastrectomy (SG) for adenocarcinoma of the antrum operated on with intent of cure. Two hundred and one patients were included in the study; 32 were excluded after pathologic examination (linitis plastica, superficial cancer, lymphoma). One hundred sixty-nine patients remained for analysis, with 93 undergoing TG and 76 undergoing SG. Elective TG did not increase postoperative mortality (1.3%) compared with SG (3.2%). There was no difference in the 5-year survival rate (48%). Analysis of survival showed no difference in the two techniques when related to nodal involvement and serosal extension. It is concluded that both TG and SG can be performed safely in patients with adenocarcinoma of the antrum; however TG did not increase the survival rate.