This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Citation map  • Contact me when this article is cited  Related Content  • Related article  • Related letter  • Similar articles in this journal  Topic Collections  • Pain  • End-of-life Care/ Palliative Medicine  • Gastrointestinal/ Upper Foregut  • Surgical Oncology  • Alert me on articles by topic  Social Bookmarking   What's this?

M. Badruddoja, MD, FRCS, FRACS

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article by Pacelli et al¹ entitled "Four Hundred Consecutive Total Gastrectomies for Gastric Cancer: A Single-Institution Experience" that was published in the August 2008 issue of Archives raises the question of whether or not all patients with carcinoma of the stomach need total gastrectomy (TG) with D2/D3 node dissection and/or adjacent organ resection. Ever since Bilroth performed the first gastrectomy for carcinoma of the stomach,² there has been controversy over whether TG or subtotal gastrectomy is the better option for this kind of cancer. Surgeons are convinced that radical subtotal excision for all tumors, "except very proximal tumor[s],"³ result in better overall short- and long-term results. Sasako et al² recently reported the results of radical TG in a highly selected group of 199 of 523 patients. Their results showed that 5-year overall survival was 69.2% and 5-year disease-free survival was 62.6%, with an overall . . . [Full Text of this Article]

AUTHOR INFORMATION


CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

RELATED ARTICLE

Four Hundred Consecutive Total Gastrectomies for Gastric Cancer: A Single-Institution Experience
Fabio Pacelli, Valerio Papa, Fausto Rosa, Antonio Pio Tortorelli, Alejandro Martin Sanchez, Marcello Covino, Maurizio Bossola, and Giovanni Battista Doglietto
Arch Surg. 2008;143(8):769-775.
ABSTRACT | FULL TEXT  

RELATED LETTER

Total Gastrectomy—Reply
Fabio Pacelli, Fausto Rosa, and Giovanni Battista Doglietto
Arch Surg. 2009;144(3):290.
EXTRACT | FULL TEXT