Evaluation of Super-extended Operations for Advanced Gastric Carcinoma from the Viewpoint of Postoperative Quality of Life

Takeshi Iwanaga*, Hiroshi Furukawa, Masahiro Hiratsuka, Shingi Imaoka

Department of Surgery, The Center for Adult Diseases, Osaka

Postoperative states after two different surgical operation methos were compared in the patients with Borrmann type-4 gastric carcinoma. One is left upper abdominal evisceration accompanied with Appleby's method (Group A) as a super-extended operation, and the other is total gastrectomy with pancreaticosplenectomy (Group B) as a conventional operation. The postoperative status was worse in Group A than Group B in terms of some parameters. However, the difference between the two groups were small, and the postoperative survival rate in stage II and III was better in Group A than Group B. Therefore, the super-extended operation may be indicated for such patients. Meanwhile, the quality of lfe of one suffering from cancer should be evaluated by each patient individually though the patient's judgement is influenced by his or her own viwe of life, religeous beliefs, etc., as well as attitude toward the surroundings. That is, the degree of mental maturity is thought to play the most important role in each patient's decisions regarding the quality of life.

Key words
gastric carcinoma, super-extended operation, quality of life

Reprint requests
Takeshi Iwanaga The center for Adult Diseases, Osaka
1-3-3, Nakamichi, Hagashinari-ku, Osaka, 532 JAPAN

Accepted
November 8, 1989

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