Total Gastrectomy for Gastric Cancer: An Analysis of Postoperative and Long-Term Outcomes Through Time

Abstract

Total gastrectomy is a safe and feasible treatment in experienced hands. Advances in surgical technique and perioperative care have improved outcomes through time.

The Impact of Severe Anastomotic Leak on Long-term Survival and Cancer Recurrence After Surgical Resection for Esophageal Malignancy

“…In recent years there has been steady improvement in outcome parameters including postoperative mortality following oesophagectomy for oesophageal cancer [50][51][52]. The reasons for this improvement are multi-factorial but include better patient selection, preoperative optimisation, centralisation of services, advances in surgical technique and improvements in perioperative care [17,53].…”

Influence of national centralization of oesophagogastric cancer on management and clinical outcome from emergency upper gastrointestinal conditions

“…In recent years there has been steady improvement in outcome parameters including postoperative mortality following oesophagectomy and gastrectomy. The reasons for this are multifactorial, but include better patient selection, preoperative optimization, advances in surgical technique and vast improvements in perioperative care.…”

Are all centers able to offer an adequate carcinological treatment for gastric carcinoma?

“…In this perspective, the supportive care team acts to help them overcoming the morbidities and toxicities of the surgery to let them achieve the pre-planned treatment. 8,9 On the other side, many centers in the US adopt the perioperative chemo-radiation therapy and other centers in Asia use the modality of adjuvant chemotherapy treatment. Regardless of the therapeutic strategy, a multidisciplinary team discussion and decision are mandatory all over the treatment and disease courses.…”