Ann Clin Surg | Volume 1, Issue 1 | Research Article | Open Access

Distal Gastrectomy vs. Total Gastrectomy for Surgical Management of Distal Gastric Cancer: A Comparative Study

Ahmed K El-Taher1, Ramadan Mahmoud1, Ehab M Oraby2, Elsayed I El Hendawy1, Basant Sh El Shafaey3, Amr Samir4, Ahmed M Elsayed5, Ola A Harb6*

1Department of General Surgery, Zagazig University, Egypt
2Department of General Surgery, Benha University, Egypt
3Department of Clinical Oncology and Nuclear Medicine, Zagazig University, Egypt
4Department of Internal Medicine, Zagazig University, Egypt
5Department of Tropical Medicine, Zagazig University, Egypt
6Department of Pathology, Zagazig University, Egypt

*Correspondance to: Ola A Harb 

Fulltext PDF


Background: There is no sure criteria of selection the best technique of managing distal gastric cancer that provide a sufficient length of free proximal margin, moreover, there are no sufficient prospective studies that compare the survival rates of patients who underwent both techniques of management. Therefore, the current study aimed to compare between total gastrectomy and distal gastrectomy in management of distal gastric carcinoma regarding the operative, post-operative parameters and effect on patients’ survival. Materials and Methods: We enrolled a total of 30 patients with operable distal gastric cancer who were divided into two separate groups the first group which included 15 patients underwent total gastrectomy and the remaining 15 patients in the second group underwent distal gastrectomy. We recorded operative and post-operative data in addition to survival rates of the patients and compared between the two studied groups. Results: we showed that the total gastrectomy has a longer duration of the operation, a larger amount of intra-operative blood loss (p<0.001), longer duration before starting diet (P=0.008), and longer duration of staying at hospital after the operation (P=0.005) than the distal gastrectomy group. Patients who underwent distal gastrectomy has a lower incidence of cancer recurrence (p=0.002), lower incidence of mortality (p=0.005), favorable recurrence free (p=0.009) and overall survival rates (p=0.003), than patients who underwent total gastrectomy. Conclusion: Distal gastrectomy is a feasible and safer surgical procedure than total gastrectomy for management of distal gastric cancer as regard; operative, post-operative, long term patients’ nutritional status, outcome and survival


Total gastrectomy; Distal gastrectomy; Distal gastric cancer


El-Taher AK, Mahmoud R, Oraby EM, El Hendawy EI, Sh El Shafaey B, Samir A, et al. Distal Gastrectomy vs. Total Gastrectomy for Surgical Management of Distal Gastric Cancer: A Comparative Study. Ann Clin Surg. 2020; 1(1): 1004..

Subscribe to Our Newsletter