En-Bloc Resection of Extended Total Gastrectomy VS. Total Gastrectomy for Proximal Gastric Cancer.
- Author:
Chan Jae PARK
1
;
Seong Ryul RYU
;
Tae Soo CHANG
Author Information
1. Department of Surgery, Masan Samsung Hospital, Korea.
- Publication Type:Original Article
- Keywords:
Extended total gastrectomy;
En-bloc resection
- MeSH:
Fasting;
Gastrectomy*;
Length of Stay;
Mortality;
Stomach Neoplasms*
- From:Journal of the Korean Surgical Society
1997;53(1):31-35
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
It is very important to select the appropriate operative method in cancer surgery. For proximal gastric cancer, a total gastrectomy (TG) has usually had less morbidity and mortality than an extended total gastrectomy (ETG). To compare and evaluate the results of a TG with those of an ETG, the authors analyzed 50 cases treated by a TG and 50 cases treated by an ETG during the last 12 years. The results were as follows: The post operative complication rates were 34% for a TG and 54% for an ETG, the average operation time was 3 hours 53 minutes for a TG and 3 hours 42 minutes for an ETG, the postoperative fasting period was 7.1 days for a TG and 6.5 days for an ETG, and the mean length of hospital stay was 21.4 days for a TG and 22.6 days for an ETG. the ETG had a higher complication rate than the TG, but there was no statistical difference between the operation times, the postoperative fasting periods, and the length of stay in the hospital. from our experience, it is suggested that the ETG is easier, or almost the same, to carry out than the TG procedure. Therefore, we recommend an ETG for proximal gastric cancer to achieve better curative results.
