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Related Experiment Videos

[Extended total gastrectomy: indications in the 3rd millennium].

M Santangelo1, G Vescio, L Sommella

  • 1Istituto di Chirurgia Generale e dei Trapianti, Facoltà di Medicina e Chirurgia, Università degli Studi Magna Grecia, Catanzaro, Italy. michsanta@libero.it

Minerva Chirurgica
|April 3, 2001
PubMed
Summary

Total extended gastrectomy (TEG) offers oncologic radicality and improved survival for gastric cancer patients. This procedure aids in better lymphadenectomy and neoplastic mass reduction for adjuvant therapy.

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Area of Science:

  • Surgical Oncology
  • Gastroenterology

Context:

  • Total extended gastrectomy (TEG) is a surgical procedure for gastric cancer.
  • It involves removing the stomach and potentially adjacent organs to achieve oncologic radicality.
  • The study reviewed 15 patients who underwent TEG between 1990-1998.

Purpose:

  • To evaluate the feasibility and outcomes of TEG in gastric cancer treatment.
  • To assess the role of TEG in achieving oncologic radicality and improving patient survival.
  • To explore the benefits of extensive lymph node resection in TEG.

Summary:

  • Fifteen gastric cancer patients underwent TEG, with 10 aiming for radicality and 5 for palliative treatment.
  • Postoperative complications included duodenal stump dehiscence, pancreatic fistula, and subphrenic abscess, all managed successfully.

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  • Survival rates were higher in patients treated with radical intent.

    • Impact:

    • TEG facilitates comprehensive lymphadenectomy and neoplastic mass reduction, crucial for adjuvant therapy.
    • The procedure can avoid or treat neoplastic complications and potentially improve quality of life.
    • TEG is indicated for achieving oncologic radicality and managing advanced gastric cancer.