title: [Total gastrectomy of gastric stump carcinomas is more invasive than usual total gastrectomy for gastric carcinomas].
abstract: BACKGROUND
  It is said that total gastrectomy of gastric stump carcinomas is more invasive than usual total gastrectomy for gastric carcinoma.
  
  
  METHODS
  We compared the duration of the surgeries, blood loss, transfusion, and postoperative complications between patients having undergone total gastrectomy of gastric stump carcinomas (Group A, N=9) and those having undergone usual total gastrectomy for gastric carcinomas without remarkable preoperative complication (Group B, N=9).
  
  
  RESULTS
  The surgical duration of Group A was significantly longer than that of Group B. The amount of blood loss was larger in Group A than in Group B. Postoperative severe complications occurred more often in Group A than in Group B.
  
  
  CONCLUSIONS
  This study showes that total gastrectomy of gastric stump carcinomas is more invasive than usual total gastrectomy without preoperative complications. This seems to have been caused by adhesion of organs around the rest stomachs and carcinomas were very likely to be advanced ones in Group A. We should take the findings into considerations for maximum surgical blood order schedule (MSBOS) and prevention of severe postoperative complications in group A apart from group B.
authors.affiliation: Department of Anesthesiology, Miura City Hospital, Miura 238-0222.
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Takahashi
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016063:Blood Loss, Surgical / Q000706:statistics & numerical data; D002277:Carcinoma / Q000601:surgery*; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D018530:Gastric Stump / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000517:prevention & control; D013274:Stomach Neoplasms / Q000601:surgery*