Subtotal Gastrectomy with Limited Lymph Node Dissection is a Feasible Treatment Option for Patients with Early Gastric Stump Cancer

Tomoyuki Irino, Naoki Hiki, Souya Nunobe, Manabu Ohashi, Shinya Tanimura, Takeshi Sano, Toshiharu Yamaguchi

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

The de facto standard treatment for early gastric stump cancer (GSC) has been total gastrectomy combined with radical lymph node dissection. However, some patients could benefit if partial resection of the gastric stump is feasible. We investigated the feasibility of subtotal gastrectomy for early GSC as less invasive surgery. Subtotal gastrectomy was defined as a segmental resection of the gastric remnant including the anastomosis with limited lymph node dissection. A total of 66 patients with early GSC were enrolled and 24 patients (36.4 %) underwent subtotal gastrectomy (SG group). Clinicopathological characteristics were analyzed along with those of the other 42 patients (63.6 %) who underwent total gastrectomy (TG group). There were no significant differences between the two groups in the number of lymph nodes harvested (p = 0.880). Lymph node involvement was detected in 2 patients (8.3 %) in SG group and 5 patients (11.9 %) in TG group (p = 1.000). The previous disease (benign or malignant) and surgery (Billroth I or II) did not affect the rate of nodal involvement. The 5-year overall survival rate of SG group (94.7 %) was acceptable. Subtotal gastrectomy of the gastric remnant could be a feasible treatment option for patients with early gastric stump cancer when indicated.

Original languageEnglish
Pages (from-to)1429-1433
Number of pages5
JournalJournal of Gastrointestinal Surgery
Volume18
Issue number8
DOIs
Publication statusPublished - 2014 Jan 1
Externally publishedYes

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Keywords

  • Early gastric cancer
  • Gastric stump cancer
  • Subtotal gastrectomy
  • Total gastrectomy

ASJC Scopus subject areas

  • Surgery
  • Gastroenterology

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