In Distal Gastric Poorly Cohesive Carcinoma, Total and Subtotal Gastrectomy Yield Comparable 5-Year Outcomes

A European multicenter study comparing total (TG) and subtotal gastrectomy (SG) for antropyloric poorly cohesive carcinoma found no significant difference in 5-year overall survival (TG: 53.8%, SG: 53.0%) or disease-free survival (TG: 46.0%, SG: 45.3%). Despite similar baseline characteristics, TG showed higher postoperative complications. This study supports subtotal gastrectomy as a viable option, offering comparable long-term outcomes with reduced surgical morbidity for distal poorly cohesive gastric cancer.