Subtotal versus total versus grandtotal
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Typically, access is provided across an institutional network to a range of IP addresses. If you are a member of an institution with an active account, you may be able to access content in the following ways: Get help with access Institutional accessĪccess to restricted content on Oxford Academic is often provided through institutional subscriptions and purchases. We conclude that SG still represents the standard reference operation for gastric carcinoma provided that a safe proximal margin of resection is guaranteed. No statistical comparison was possible in N - groups with invasion confined to mucosa, submucosa or muscularis propria because of the small number of such patients who underwent TG. No significant difference in survival was found in the group without nodal involvement (N -) and invasion of the wall to the serosa or beyond. However, stratifying for age it was found that the benefit was limited to patients over 60 years old. In patients with lymph node involvement survival appeared to be significantly better ( P = 0.0005) after SG.
#Subtotal versus total versus grandtotal series#
Our series consisted of 361 patients treated by curative SG and 41 by curative TG, admitted to the Istituto Nazionale Tumori of Milan between 19. We analysed survival after curative TG or SG within groups of patients stratified according to the main prognostic variables as found in multivariate analysis, i.e., nodal status, degree of invasion of the gastric wall, patient age and sex. Many surgeons favour total gastrectomy (TG) ‘de principe’ in the treatment of gastric cancer, but final demonstration of its advantage over subtotal gastrectomy (SG) is still lacking.