الفهرس 
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Abstract
Abstract Gastric cancer is one of the Most Common Cancers WorldwideM Approximately 21,600 Patients are Diagnosed Annually in the United States. In Japan and Eastern Asia, up to one-half of resections for gastric adenocarcinoma represent early gastric cancer. Ninety-five percent of gastric cancers are adenocarcinomas. The antral-pyloric region of the stomach is the most common site of stomach cancer. Proximal tumors account for about 50% of all gastric carcinomas. Controversy still exists about the role of extended lymphadenectomy in the treatment of gastric cancer. Key Word : Stomach cancer - Total gastrectomy – lymphadenectomy - recurrence - Overall survival.