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Indication and Division Lines for Distal
Subtotal and Total Gastrectomy
Distal subtotal
gastrectomy
>2cm from cardia
>5cm from cardia
Total
gastrectomy
Early cancer or well-circumscribed
advanced cancer
Infiltrative advanced cancer
When the proximal distance from the
cardia is less than the required length,
total gastrectomy is indicated
<5cm
Total gastrectomy is always indicated
in diffuse carcinoma (Borrmann type
4) regardless of its size
3cm