Surgical approach for upper gastric cancer
Li, W.; Sun, X.-w.; Zhan, Y.-q.
Zhonghua Wei Chang Wai Ke Za Zhi 13(12): 924-925
2010
ISSN/ISBN: 1671-0274 PMID: 21186414 Document Number: 638264
To investigate the reasonable surgical approach for upper gastric cancer, surgical technique, and indications for combined resection of the spleen. Eight hundred and three patients with upper gastric cancer were operated in the Cancer Center of Sun Yat-Sen from December 1964 to December 2004, including 341 cases undergoing abdominal incision and 462 thoracotomy or abdomino-thoracic incision. Clinical data were analyzed retrospectively. The operative time was significantly shorter in the abdominal incision group (170 vs. 220 min, P<0.01), as was the transfusion volume (200 vs. 650 ml, P<0.05). Positive resection margin was similar between the two groups (5.6% vs. 6.7%, P>0.05). There was no difference in overall postoperative complication rate (3.2% vs. 5.0%, P>0.05). Length of hospital stay was shorter in the abdominal incision group (21 vs. 26.6 days, P<0.05). Selection of surgical approach should be based on the tumor characteristics. Abdominal incision should be the approach of choice where possible.