[Total gastrectomy via thoracotomy for cancer of gastric cardia and fundus. Report of 90 cases].
From 1978 through 1990, 90 total gastrectomy with esophagojejunostomy via thoracotomy were performed for the treatment of cancer of cardia or fundus of stomach. 85/90 patients were at TNM III-stage and 5/90-at IV-stage. 30-day post-resectional mortality was 1.1%. Five-year survival rate was 13.8%. 14CO2 respiratory test and clinical evaluation of 34 post-operative patients showed that total gastrectomy may decrease the incidence of positive residual cancer along the incision lines. It may also spare the patient from small-stomach syndrome. There was no statistical difference in postoperative fat absorption and digestive function between ordinary proximal subtotal gastrectomy and total gastrectomy.
Xu
L T
LT
Peking Union Medical College Hospital, Beijing.
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery; D002288:Adenocarcinoma, Mucinous / Q000401:mortality / Q000601:surgery; D000328:Adult; D000368:Aged; D002299:Cardia; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D005748:Gastric Fundus; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery*; D015996:Survival Rate