| Abstract: |
While there is an increasing incidence of proximal gastric cancers in the United States, the appropriate extent of resection for proximal gastric cancer is not known. Review of the prospective gastric database at Memorial Sloan-Kettering Cancer Center (MSKCC) identified 98 patients who underwent curative TG or PG through an exclusively abdominal approach. The length of hospital stay (LOS) was the same for those patients undergoing resection for PG (n=65, 16.5 days (8-55)) and for TG (n=33, 18 days (8-48)). In addition, hospital mortality for PG (6.0%) was similar to that of TG (3.0%). There was no significant difference in time to recurrence between the two operative groups (PG=15.7 months vs TG=18 months). The overall 5 year survival of PGC was 43%, while the 5 year survival for TG was 41%. The extent of resection for proximal gastric cancer does not affect long term outcome. TG or PG have similar overall survival, time and rate of recurrence and both procedures can be accomplished safely. |
