title: [Distal gastrectomy brings a better long-term survival for patients with distal gastric cancer compared with total gastrectomy].
abstract: OBJECTIVE
  To compare the long-term survival and the postoperative complication morbidity of distal gastric cancer patients between distal gastrectomy (DG) and total gastrectomy (TG).
  
  
  METHODS
  Clinicopathological data of 1140 patients with distal gastric cancer undergoing curative gastrectomy from May 2008 to April 2015 were analyzed retrospectively. A total of 992 patients underwent DG (207 patients of Billroth I( and 785 of Billroth II() and 148 patients underwent TG. Patients between the DG and TG group were selected using gmatch methods based on tumor size(±1 cm), differentiated degree and depth of invasion in order to reduce the differences in clinicopathological characteristics.
  
  
  RESULTS
  Compared with TG group, the DG group had significantly shorter operation time (198.8 min vs. 236.0 min, P=0.001), less blood loss (197.1 ml vs. 252.8 ml, P=0.033), and shorter postoperative hospital stay (7.8 days vs. 8.5 days, P=0.036). However, the postoperative complication morbidity and mortality were not significantly different between the two groups (P>0.05). The 3-year survival rate was significantly higher in the DG group compared to the TG group (74.4% vs. 58.7%, P=0.013).
  
  
  CONCLUSIONS
  Compared with TG, DG has a comparable safety and a better long-term survival. DG should be considered as the optimal choice for patients with distal gastric cancer.
authors.affiliation: The First Department of Digestive Diseases, Xijing Hospital of Digestive Diseases, The Fourth Military Medical University, Xi'an 710032, China. zhanghw@fmmu.edu.cn.
authors.forename: Zhen
authors.initials: Z
authors.lastname: Liu
authors.forename: Bin
authors.initials: B
authors.lastname: Huang
authors.forename: Yan
authors.initials: Y
authors.lastname: Jin
authors.forename: Fan
authors.initials: F
authors.lastname: Feng
authors.forename: Li
authors.initials: L
authors.lastname: Sun
authors.forename: Man
authors.initials: M
authors.lastname: Guo
authors.forename: Xiao
authors.initials: X
authors.lastname: Lian
authors.forename: Hongwei
authors.initials: H
authors.lastname: Zhang
mesh_terms: D005743:Gastrectomy; D005763:Gastroenterostomy; D006801:Humans; D007902:Length of Stay; D009017:Morbidity; D011183:Postoperative Complications; D011184:Postoperative Period; D012189:Retrospective Studies; D013274:Stomach Neoplasms; D015996:Survival Rate