[Gastric cancer. Which resection?].
BACKGROUND
The choice of surgical technique in antral gastric cancer is still debated. Some authors support total gastrectomy in all cases. In recent years there is a trend to use total gastrectomy only if strictly necessary. Total gastrectomy allows a large lymph node excision, with better oncological results. The mortality rate and post-operative complications are quite similar today after gastric resection. Anyway, if exact histological diagnosis is possible and at least 6 cm unaffected tissue is preserved, oncological cure is possible by gastric resection.


METHODS
Personal experience in 224 patients operated on from 1975 to 1994 is reported.


CONCLUSIONS
54.3% had antral gastric cancer, 16.5% body cancer and 8.7% fundus gastric cancer. Subtotal gastric resection should be the surgery of choice in antral gastric cancer. Early subtotal gastrectomy with R2, Advanced (III and IV-TNM) only resection with R2, and Advanced (II-TNM) total gastrectomy with R3.
Rossi
M
M
Istituto di Patologia Chirurgica, Università degli Studi, Verona.
Dellagiacoma
G
G
Dalle Ore
G
G
Bovolato
M
M
Pellini
F
F
Cadamuro
M
M
Moretto
G
G
Santoro
G
G
D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013274:Stomach Neoplasms / Q000601:surgery*; D013997:Time Factors
Il cancro gastrico. Quale resezione?