Details

Autor(en) / Beteiligte

• D'Amato, Alberto
• Santella, Sergio
• Cristaldi, Mario
• Gentili, Vincenzo
• Pronio, Annamaria
• Montesani, Chiara

Titel

The role of extended total gastrectomy in advanced gastric cancer

Ist Teil von

• Hepato-gastroenterology, 2004-03, Vol.51 (56), p.609

Ort / Verlag

Greece

Erscheinungsjahr

2004

Quelle

MEDLINE

Beschreibungen/Notizen

• Extended total gastrectomy represents, in our experience, 52 out of 443 (11.7%) surgical resections for gastric cancer (1976-1998, 269 total gastrectomies). Enlarged resections were performed on left liver lobe (5 cases), transverse colon (8 cases), pancreas body-tail (35 cases), mesocolon (4 cases), diaphragm (6 cases), jejunum (1 case), and adrenal gland (1 case). Morbidity rate was 18 out of 52 cases (34.60%); 1 esophagus-jejunum anastomosis leakage, 6 cases of pneumonia, 1 pancreatic fistula, 1 p.o. pancreatitis, 3 subphrenic abscesses, 4 cardiocirculatory complications, successfully resolved with conservative therapy. There was one case of postoperative death (1.9% due to cardiac failure). There was a 5-year survival rate for 36.5% of the patients, with follow-ups from 6 months to 11 years. The authors, based on their data, international literature (Roder 1993, Cordiano 1996, Shchepotin 1998) and taking into account mortality and morbidity rates estimate a 5-year survival rate in 30-52% of the cases. In conclusion, we believe that major surgical procedures for gastric cancer are indicated for every case of suspected neoplastic infiltration of contiguous organs.