Background: Most of the patients with gastric carcinoma suffer from advanced tumors at the time of diagnosis, and in the majority of cases only palliative resections can be carried out. Patients and Methods: We retrospectively analyzed the results of 64 patients treated by surgery alone (palliative resections) in an 11-year time interval (1986–1997). Results: In more than 75% of our cases total gastrectomy was performed, and post-operative overall morbidity and mortality were 34.4% and 6.2% (4.1% after total gastrectomy), respectively. The median survival time was 10 months and the 5-year survival rate 6.9%. Conclusions: Palliative resections can be performed with an acceptable postoperative morbidity and mortality, but the impact on survival is minor. The indication may be given in symptomatic patients with dysphagia, gastric outlet obstruction or hemorrhage and impaired general condition, not allowing aggressive neoadjuvant or palliative chemotherapy.

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1998
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