Related Experiment Video
Updated: Dec 17, 2025
Single Incision Plus One Port Laparoscopic Proximal Gastrectomy with Double Channel Anastomosis for Gastric Cancer Treatment
Published on: December 27, 2024
Comparative study between total and subtotal gastrectomy for distal gastric cancer: Meta-analysis of prospective and
Hipólito Durán Giménez-Rico1, Lucía Diéguez Aguirre2, Lucía Ríos Pérez2
1Servicio de Cirugía General, Departamento de Ciencias Médicas Clínicas (Sección de Cirugía), Hospital Universitario HM Sanchinarro, Universidad San Pablo CEU, Madrid, España; Fundación para el Desarrollo e Investigación de Cirugía Oncológica, Madrid, España.
Abstract:
There is no clear agreement on the type of gastrectomy to be used (either total [TG] or distal [DG]) in middle or distal gastric cancer, especially when it is undifferentiated or Lauren diffuse type. In this meta-analysis, we intend to define which of the 2techniques should be recommended, based on survival, morbidity and mortality rates. Prospective and retrospective studies comparing both techniques have been included for a total of 6303 patients (3,641 DG and 2,662 TG). DG was significantly associated with fewer complications, fewer anastomotic fistulae, and less perioperative mortality. The number of lymph nodes in DG was significantly lower, but always above 15. Finally, even the 5-year survival of DG was also higher. Therefore, DG, as long as a safety margin is obtained and regardless of the histological type, should be performed in surgery for distal stomach cancer.
