Study comparing total and proximal gastrectomy for proximal gastric cancer found that more patients underwent proximal gastrectomy, with a higher likelihood of receiving neoadjuvant chemotherapy. Pathologically, total gastrectomy patients had more advanced tumors and fewer evaluated lymph nodes, but lower margin negativity. Long-term survival did not differ between the two procedures, but neoadjuvant chemotherapy was associated with improved overall survival in both groups. Proximal gastrectomy may be a viable option after systemic chemotherapy for selected proximal gastric cancer cases.
Journal Article by Rawicz-Pruszyński K, Endo Y (…) Pawlik TM et 5 al. in J Gastrointest Surg
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