Abstract
Forty-eight cases of total gastrectomy (cardial resection of the stomach, inclusive) with their operative results, long-term results and postoperative complaints are reported.
1) On the operative procedures, laparotomy with total gastrectomy and esophagojejunostomy were performed most frequently and the other various techniques; esophago-duodenostomy, esophago-gastrostomy under laparotomy-thoracotomy or thoracotomy only were dene.
2) Operative mortality rate was 6.2%; they are caused by wound dehiscence and pulmonary complications.
3) Postoperative long term results were: 3 years survival rate, 12%; 5 years, 10%.
4) Post operative complications were wound dehiscence, ileus, passage-disturbance of stomach and pulmomry complications, with incidense rate being 16%, and about half of them died.
5) Those who have severe dumping syndrome were not so many, while those with regurgitative esophagitis were one third of the total numbers.
