For the past 30 years there has been great confusion over the choice of operations for gastric malignancies. The pendulum has swung from partial gastrectomy to total gastrectomy and back again. Lacking adequate data that correlate survival statistics with various lesions, surgeons have based their choice of operations on anatomical study of the distribution of lymphatic metastases. The routine use of total gastrectomy for all gastric malignancies has been shown not to improve survival of patients.
KeywordsTotal Gastrectomy Gastric Pouch Subtotal Gastrectomy Left Gastric Artery Esophagogastric Anastomosis
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