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Total Gastrectomy—Reply
Fabio Pacelli, MD;
Fausto Rosa, MD;
Giovanni Battista Doglietto, MD
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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In reply
Dr Badruddoja's letter raises many questions. First, there is currently no controversy regarding the choice between TG and partial gastrectomy for gastric cancer. Total gastrectomy is actually the treatment of choice for upper gastric cancer and middle gastric cancer, in which a proximal 5-cm disease-free margin cannot be obtained.
Lower cancers and those located in the middle, where it is possible to achieve a 5-cm proximal margin, are best treated with a distal subtotal gastrectomy.1 Given its retrospective nature, our study (which encompass a long period of time) also includes a group of patients with antral cancer who underwent, during the early years of our experience, the so-called de principe TG, which was subsequently abandoned.
Second, the article by Sasako et al2 (which was performed differently from ours) includes only patients who were operated on with curative intent. . . . [Full Text of this Article]
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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.
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