The authors discuss some aspects of radical gastrectomy. They analyse whether there is any progress in their results in the treatment of @entity5 in the past 5 years. They describe some aspects of total gastrectomy with regards to the need for splenectomy. During 36 years (01.07.1952-30.06.1962 and 1974-1999) 1614 @entity1 were treated for @entity5 . In the last two 5 year long periods (1990-1994 and 1995-1999) the number of radical operations was 106 and 114. In the second period we used laparoscopic exploration in some @entity1 . We carried out total gastrectomies with modern suturing devices (AutoSuture Premium Plus CEEA, Proximate ILS Straight Intraluminal Stapler Endo Surgery, TA Premium) without compromising the principles of radicality using Rochard-Aesculap retractor in most @entity1 . We tried to avoid splenectomy when possible. In the past 5 years we carried out lymphadenectomy according to the Japanese classification, excising group I and II lymph nodes. The resectability rate rose in the last 6 years compared to the previous ten year period (55.3%, 36.1%, 48.4%, 64.3%). The ratio of total gastrectomies increased from 8.6% (10 out of 106 resections) to 42.9% (49 out of 114 resections) in the two 5 year periods. Mortality for partial and total gastrectomy were 4.6% (65/3) and 6.1% (49/3). They could preserve the spleen in 32.6% of the cases. We found that laparoscopic exploration rarely influenced the operation. Partial resection in intestinal type @entity5 should be performed, if a margin of 6 cm can be achieved. If the @entity1 is in good general health, total gastrectomy should be performed unless the size, type and lymph node involvement of the @entity5 indicated otherwise. We think that increased resectability is related to both increased capabilities and better diagnostic tools. It is important to preserve the spleen where oncology principals allow.

[Partial versus total gastrectomy in the surgical treatment of XXXX ].

@entity5 :: ('MESH:D009369', 'Disease') :: ['cancer', 'stomach cancer'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient']
@entity5 :: (MESH:D009369,Disease) :: ['stomach cancer']
