Related Experiment Video
Updated: Jul 20, 2026
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
Total gastrectomy for early gastric cancer
K Kitamura1, T Yamaguchi, K Okamoto
1First Department of Surgery, Kyoto Prefectural University of Medicine, Japan.
Journal of Surgical Oncology
|October 1, 1995
Summary
Total gastrectomy for early gastric cancer is often unnecessary, with 79.6% of patients undergoing excessive surgery. This procedure is recommended only for synchronous multiple cancers or remnant stomach cancer.
Area of Science:
- Gastroenterology
- Surgical Oncology
Background:
- Early gastric cancer management requires careful consideration of surgical extent.
- Total gastrectomy involves complete removal of the stomach.
Purpose of the Study:
- To evaluate the effectiveness and necessity of total gastrectomy in early gastric cancer patients.
- To identify appropriate indications for total gastrectomy in this patient group.
Main Methods:
- Retrospective review of hospital files for 49 patients who underwent total gastrectomy for early gastric cancer.
- Analysis of reasons for surgery, lesion location, lymph node involvement, and postoperative outcomes.
Main Results:
- 42 out of 49 patients had upper stomach lesions; 5 had lymph node involvement.
- Postoperative complications included anastomotic leakage (5), reflux esophagitis (4), and pancreatic fistula (2).
- Five patients experienced postoperative death; 39 patients (79.6%) underwent potentially unnecessary surgery.
Conclusions:
- Total gastrectomy is frequently excessive for early gastric cancer.
- Indications should be limited to synchronous multiple cancers and remnant stomach cancer.
