Modified Schoemacher resection for distal gastric cancer

• Published in: Tumori Vol. 74; no. 2; p. 213
• Main Authors: Valente, M, Alloisio, M, Pastorino, U, Tavecchio, L, Cataldo, I, Bedini, A V, Muscolino, G, Ongari, M, Ravasi, G
• Format: Journal Article
• Language: English
• Published: United States 30.04.1988
• Subjects: Aged; Evaluation Studies as Topic; Follow-Up Studies; Gastrectomy - methods; Humans; Middle Aged; Neoplasm Recurrence, Local; Stomach Neoplasms - surgery
• ISSN: 0300-8916
• DOI: 10.1177/030089168807400216

Between October 1979 and February 1987, 30 consecutive patients with cancer of the lower stomach underwent B1-Schoemacher resection with a tubular gastric pouch. Operative mortality was 0% and operative morbidity 10% (leak 3%, anastomotic stricture 3% and abscess 3%). After a mean follow-up of 30 months, the expected 5-year survival was 32%. The causes of death were: 7 distant relapses, 2 noncancer diseases and 1 new primary cancer. The overall incidence of postgastrectomy symptoms was 23% for the whole series and 35% for the patients harboring small tumors. Mild dyspepsia occurred in 71%. The declining concept of total gastrectomy as an essential requirement for curative resection and the recent evidence that B2 for gastric lesions is a carcinogenic operation necessitate alternative procedures. The data show that modified Schoemacher resection can be consider a valid challenge to B2.