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Subtotal gastrectomy or en principle total gastrectomy in cancer of the lower half of the stomach



Subtotal gastrectomy or en principle total gastrectomy in cancer of the lower half of the stomach



Onkologie 15(2): 84-86, 88, 90-91



Background: There is still a matter of controversy whether a subtotal gastrectomy has the same therapeutic potential as a total gastrectomy in distal gastric cancer. Whether all or a subgroup of patients can benefit from total gastrectomy can be answered only by a randomized trial. Method: We therefore assembled a prospective randomized multi-institutional trial which has so far randomized 400 patients for total or subtotal gastrectomy and second level lymphadenectomy. Material: Patients with gastric carcinoma of the lower half of the stomach are eligible unless one of the following conditions exists: Age over 75 years, previous malignant neoplasia except skin cancer, previous gastric resection, high surgical risk, tumor located at less than six centimeters from cardia, tumors not radically resectable. Results: The accrual of patients is still in progress. The available results concern the mortality rare that is higher after total gastrectomy but not statistically different from subtotal resection.

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Accession: 007843396

Download citation: RISBibTeXText

DOI: 10.1159/000217341


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