Total vs Subtotal?

摘要

In general, there remains controversy surrounding the choice of procedure for carcinomas of the middle third of stomach. We performed this study to evaluate the impact of total versus subtotal gastrectomy on the oncologic outcome of patients with cancer of middle third stomach. We reviewed follow up records of 136 patients who underwent curative gastrectomy due to the middle third of gastric carcinoma. The mean number of positive lymph node were 14.6 in total gastectomy group(TG) and 3.8 in subtotal gastectomy group(SG). The percent of stage III or IV was 66.7 in TG and 31.3 in SG. However the overall 5-year survival rate of both groups were not significantly different in same stage. The other clinicopathologic findings were not statistically different between the TG and SG. We conclude that the oncologic outcome of curative resection is dependent not on the surgical option but on the clinocopathologic characteristics.