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[Gastric cancer. Which resection?]

M Rossi1, G Dellagiacoma, G Dalle Ore

  • 1Istituto di Patologia Chirurgica, Università degli Studi, Verona.

Minerva Chirurgica
|May 13, 1998
PubMed
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For antral gastric cancer, subtotal gastric resection is recommended. This approach balances oncological outcomes with surgical feasibility, differing from total gastrectomy in specific advanced stages.

Area of Science:

  • Gastroenterology
  • Surgical Oncology

Background:

  • Surgical technique for antral gastric cancer remains debated.
  • While total gastrectomy offers extensive lymph node excision, trends favor its use only when essential.
  • Gastric resection with adequate margins can achieve oncological cure.

Purpose of the Study:

  • To evaluate the efficacy of subtotal gastric resection versus total gastrectomy for antral gastric cancer.
  • To determine the optimal surgical approach based on cancer stage and location.

Main Methods:

  • Retrospective analysis of 224 patients operated on between 1975 and 1994.
  • Surgical techniques included subtotal and total gastrectomy with varying lymph node dissection (R2, R3).

Main Results:

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  • Antral gastric cancer was diagnosed in 54.3% of patients.
  • Subtotal gastric resection was performed in cases of antral gastric cancer.
  • Advanced stages (TNM III-IV) involved resection with R2, while advanced stage II utilized total gastrectomy with R3.

Conclusions:

  • Subtotal gastric resection is the preferred surgical option for antral gastric cancer.
  • Surgical strategy should be tailored to cancer stage, with specific approaches for early and advanced disease.