J.Jpn. Surg. Soc.. 80(12): 1469-1472, 1979

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Report on the annual meeting

REEVALUATION OF EXTENDED RADICAL OPERATION FOR GASTRIC CANCER

During 11 years from 1963 to 1973, resection of gastric cancer was performed on 732 cases at the Second Department of Surgery, Osaka University Hospital, and during 13.5 years from 1961 to 1974, on 1,368 cases at the Center for Adult Diseases, Osaka. 5-year-survival rate and operative mortality were investigated on these cases and extended radical operation was reevaluated. Following are results:
a) Total gastrectomy could be expected to improve the survival rate, though slight increase in death within one month after operation was noted.
b) Combined resection of adjacent organs involved with cancer had significance for life expectance. Especially in the case of expansive type cancer, improvement of 5-year-survival could be expected.
c) For sufficient resection of invaded esophagus with gastric cancer, thoracal approach should be performed. Right thoracotomy was found to have an advantage to get ow(－). Operative mortality was not elevated and 5-year-survival rate was 36% in right thoracal approach.
In conclusion, it can be said that careful extension of the operation improves the end result without increase in operative mortality.

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