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Related Experiment Videos

[Total gastrectomy and viscerosynthesis]

B Descottes1, P Thognon, D Valleix

  • 1Service de Chirurgie Viscérale et Transplantations, CHU Dupuytren, Limoges.

Journal De Chirurgie
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

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Total gastrectomy outcomes improved with newer techniques. Despite initial mortality and complications, long-term survival and quality of life suggest reconsidering its perceived gravity.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Clinical Outcomes Research

Context:

  • Retrospective analysis of 134 total gastrectomies (1982-1992).
  • Indications included malignant tumors (86%) and benign lesions (14%).
  • Focus on surgical techniques and patient follow-up.

Purpose:

  • To evaluate the outcomes and long-term results of total gastrectomy.
  • To assess the impact of surgical advancements, specifically viscerostapling, on patient survival and quality of life.
  • To compare findings with existing literature and challenge the traditional view of gastrectomy's risks.

Summary:

  • Operative mortality was 8.2%, with a 5.3% rate of esophaegojejunal disunion.
  • Long-term follow-up revealed a 5-year survival rate of 10.1% for malignant tumors.

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  • Reported sequelae included reflux esophagitis (8.1%) and anastomotic stenosis (7.3%).

    • Impact:

    • Suggests that advancements in surgical techniques, such as viscerostapling, may mitigate the risks associated with total gastrectomy.
    • Highlights that a significant proportion of patients reported satisfactory or good quality of life post-surgery.
    • Encourages a re-evaluation of the perceived gravity of total gastrectomy in surgical practice.