Total gastrectomy with esophagojejunostomy. Analysis of 100 consecutive patients |
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| Authors: | I Saario T Schr?der E M Tolppanen M Lempinen |
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| Affiliation: | 1. Institute of Materials Engineering, Faculty of Engineering, University of Pannonia, Veszprem 8200, Hungary;2. Architecture, Planning and Energy Efficiency, CSIR-Central Building Research Institute, Roorkee 247667, Uttarakhand, India;3. International Institute for Carbon-Neutral Energy Research (WPI-I2CNER), Kyushu University, 744 Motooka, Nishi-ku, Fukuoka 819-0395, Japan;4. Department of Mechanical Engineering, Mahatma Jyotiba Phule Rohilkhand University, Bareilly 243006, India;5. Savaria Institute of Technology, Faculty of Informatics, ELTE Eötvös Loránd University, Szombathely 9700, Hungary;1. Curriculum in Neuroscience, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;2. Department of Computer Science, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina;3. Carolina Institute for Developmental Disabilities, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina;4. Department of Psychiatry, University of North Carolina at Chapel Hill School of Medicine, Chapel Hill, North Carolina;1. Tokyo Metropolitan Research Institute for Environmental Protection, 1-7-5 Shinsuna Koto, Tokyo 136-0075, Japan;2. Center for Material Cycles and Waste Management Research, National Institute for Environmental Studies (NIES), 16-2 Onogawa, Tsukuba 305-8506, Japan;3. Toxicological Centre, University of Antwerp, Universiteitsplein 1, 2610 Wilrijk, Belgium;4. Center for Marine Environmental Studies, Ehime University, 2-5 Bunkyo-cho, Matsuyama 790-8577, Japan;5. Centre for Environmental Technology and Sustainable Development, Hanoi University of Science, 334 Nguyen Trai, Hanoi, Viet Nam;1. Cognitive and Information Sciences, University of California, Merced, USA;2. Department of Psychology, Cornell University, USA;3. Department of Communication, University of California, Los Angeles, USA |
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| Abstract: | One hundred consecutive patients treated for gastric cancer by total gastrectomy from 1977 to 1982 at the second department of surgery of the Helsinki University Central Hospital were analyzed. The mean age of the patients was 61.5 years. Gastroscopy proved to be diagnostically superior to roentgenographic examination, particularly in cases of proximally located cancer. The mean length of postoperative hospital stay was 19.7 days, and the hospital mortality was 8 percent. Respiratory complications accounted for nearly half of the complications, and postoperative intraabdominal complications were recorded in 15 patients. Reoperation was performed on eight patients during the initial hospital stay due to complications. The results suggest that total gastrectomy is a safe procedure with an acceptable mortality rate, and it can be recommended both as a curative and a palliative operation in patients with gastric cancer. |
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