Gastric cancer is worldwide one of the most common causes of cancer death. Total gastrectomy is the gold standard treatment for gastric carcinomas originating in the gastric body or fundus. There have been important decrease in surgical morbidity and mortality after total gastrectomies. However, some major complications are related to the surgical technique. Esophagojejunostomy leaks are seriou...

Background and Objective: Obesity is one of the problems associated with cardiovascular complications. Patients' heart function improves after sleeve gastrectomy. Global Longitudinal Strain (GLS) is one of the methods used to monitor heart function before and after sleeve gastrectomy.  In this study, we evaluated the echocardiographic parameters pre and post sleeve gastrectomy. Materials and M...

BACKGROUND The only curative treatment for gastric cancer is its surgical excision associated to a lymph node dissection. AIM To study the evolution of resectability and operative mortality of total and subtotal gastrectomy for gastric cancer, in a period of 35 years. MATERIAL AND METHODS Review of medical records of 3000 patients with gastric cancer, operated between 1969 and 2004. Resecta...

BACKGROUND Laparoscopic total gastrectomy for adenocarcinoma is a widely diffused operation in eastern countries, but there are only a few reports from western centers. We assessed a single surgeon's experience at a single, nonacademic, community hospital. METHODS Short-term outcome of patients undergoing laparoscopic total gastrectomy for adenocarcinoma (June 2005-March 2010) was assessed. ...

BACKGROUND Follow-up endoscopy after total gastrectomy for gastric cancer is commonly performed without there being any definite evidence of clinical relevance. Therefore, we investigated the role of the upper endoscopic examinations after total gastrectomy for gastric cancer. METHODS The medical records of 212 early gastric cancer (EGC) patients and 622 advanced gastric cancer (AGC) patients...

Objective: To investigate the effect and complication rate of totally laparoscopic laparoscopic-assisted total gastrectomy in treatment gastric cancer. Methods: From March 2019 to July 2021, 60 patients with cancer were selected as subjects this study; group A underwent gastrectomy, whereas those B gastrectomy; compared between two groups. Results: The postoperative recovery was significantly b...

Using the Postgastrectomy Syndrome Assessment Scale (PGSAS)-45, we compared the surgical outcomes and the quality of life (QOL) between patients undergoing limited gastrectomies and those undergoing conventional gastrectomies. In Oomoto Hospital between January 2004 and December 2013, a total of 124 patients who met the eligibility criteria were enrolled. Using the main outcome measures of PGSA...

Background: A novel distal subtotal gastrectomy was performed in 5 patients with macroscopically node-positive gastric cancer located in the greater curvature of the middle stomach. In these patients, total gastrectomy or standard distal subtotal gastrectomy has been typically performed. In these typical gastrectomies, the hepatic and the coeliac branches of the vagi are removed en bloc with th...

PURPOSE The choice of surgical strategy for patients with adenocarcinoma of the upper one third of the stomach is controversial. This study was performed to analyze the surgical results of a 11-year experience with these lesions. MATERIALS AND METHODS From January 1990 to December 2000, 259 patients with upper third gastric cancer underwent proximal gastrectomy (n=74) or total gastrectomy (n=...