PURPOSE: To investigate whether pancreas preservation together with a strict quality-control system could ameliorate the outcome of D2 resections for @entity356 in Western @entity1 . @entity1 AND METHODS: Italian @entity1 with potentially curable proven @entity420 were registered from nine general and/or university hospitals in the area of Turin, Northern Italy. The study was performed according to the guidelines of the Japanese Research Society for @entity356 (JRSGC). A strict quality-control system was guaranteed by a supervising surgeon of the reference center, who had stayed at the National @entity5 Center Hospital, Tokyo, to learn the standard D2 gastrectomy. The standard procedure entailed removal of the level 1 and 2 lymph nodes. During total gastrectomy, the pancreas was preserved according to the Maruyama technique. RESULTS: Between May 1994 and December 1996, 191 eligible @entity1 were entered onto the study. The mean number of lymph nodes removed was 39. The overall morbidity rate was 20.9%. Surgical complications were observed in 16.7% of @entity1 . Reoperation was necessary in six @entity1 and was always successful. The overall hospital mortality rate was 3.1%; it was higher after total gastrectomy (7.46%) than after distal gastrectomy (0.8%). The average length of hospital stay was 17 days. CONCLUSION: Given that postoperative morbidity and mortality rates are favorably comparable with those reported after the Western standard gastrectomy, the more extensive Japanese procedure with pancreas preservation can be regarded as a safe radical treatment of @entity356 for selected Western @entity1 treated in experienced centers.

Morbidity and mortality after D2 gastrectomy for XXXX : results of the Italian @entity356 Study Group prospective multicenter surgical study.

@entity1 :: ('9606', 'Species') :: ['patients', 'PATIENTS'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Cancer'] @entity420 :: ('MESH:D000230', 'Disease') :: ['adenocarcinoma of the stomach'] @entity356 :: ('MESH:D013274', 'Disease') :: ['gastric cancer', 'Gastric Cancer']
@entity356 :: (MESH:D013274,Disease) :: ['gastric cancer']
