Abstract
Background: The prognosis after surgery for scirrhous gastric cancer is quite poor. An extended operation, left upper abdominal exenteration plus Appleby's operation (LUAE), has been performed for scirrhous gastric cancer to improve their survival. Patients and Methods: Since 1983, LUAE has been performed in 54 patients with scirrhous gastric cancer (Group A). The results of LUAE were evaluated and compared with findings in patients with scirrhous cancer who underwent total gastrectomy with pancreatosplenectomy between 1973 and 1983 (Group B). Results: There was no difference in the incidence of postoperative complications between the two groups. In stage III, the 5-year survival rate in Group A was 40%, and better than in Group B (20%: p<0.05). In stage IV, there was no difference in the survival rate between the two groups. Conclusion: LUAE improved the survival of patients with scirrhous gastric cancer in stage III, but failed to improve the survival of patients with stage IV disease.
