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The optimal extent of gastrectomy for middle-third gastric cancer remains controversial. In our study, the short-term effects and longer-term survival outcomes of distal subtotal gastrectomy and total gastrectomy are analysed to determine the optimal extent of gastrectomy for middle-third gastric cancer. | The optimal extent of gastrectomy for middle third gastric cancer Distal subtotal gastrectomy is superior to total gastrectomy in short term effect without sacrificing long term survival