title: [Stomach adenocarcinoma: what form of gastrectomy?].
abstract: Three hundred and sixty consecutive cases of gastric adenocarcinoma were studied retrospectively between 1976 and 1987. Surgery was curative in 195 patients: 91 had a subtotal gastrectomy 83 a total gastrectomy and 21 a proximal gastrectomy. Subtotal and total gastrectomy were compared within this group in terms of postoperative morbidity and mortality, abdominal comfort and 5-year actuarial survival: Postoperative mortality was greater after total gastrectomy (9.6 vs 2.2%, p = 0.04), as were anastomotic leaks (19 vs 2%, p = 0.0009). Mean weight loss was greater after total gastrectomy (p = 0.005). Comparison of patients with similar tumor staging and localization did not show any significant difference in 5-year actuarial survival. If subtotal gastrectomy is certainly justified for distal gastric cancer, it should be considered for some proximal localization.
authors.affiliation: Clinique de Chirurgie Digestive, Hôpital Cantonal Universitaire de Genève, Suisse.
authors.forename: P
authors.initials: P
authors.lastname: Ambrosetti
authors.forename: N
authors.initials: N
authors.lastname: Dunand
authors.forename: R
authors.initials: R
authors.lastname: Egeli
authors.forename: R
authors.initials: R
authors.lastname: Megevand
authors.forename: A
authors.initials: A
authors.lastname: Rohner
mesh_terms: D000206:Actuarial Analysis; D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*
vernacular_title: Adénocarcinome gastrique: quelle gastrectomie?