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Effect of Extent of Resection

WALTON D. THOMAS, M.D.; JOHN M. WAUGH, M.D.; MALCOLM B. DOCKERTY, M.D.

AMA Arch Surg. 1951;62(6):847-855.

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

IT IS POSSIBLE that total gastrectomy is the treatment of choice in all carcinomas of the stomach.¹ Because of the excessive gravity of this suggestion, its worth should be critically evaluated from every possible angle before it is generally adopted.

A mere philosophy of radicalism is not sufficient. The concept of removing the entire substance of any nonvital organ harboring cancer is not necessarily valid. This concept carried to the point of absurdity would suggest the removal of the entire face for a small basal cell carcinoma. A more valid, and probably more radical over-all concept, is that of removing all areas suggested by the known pathologic characteristics of a given malignant lesion.

Strict observance of the pathologic aspects of malignancy has seldom failed to bear surgical fruit. This is true regardless of whether it leads to a more conservative or a more radical operation. In any historical review . . . [Full Text PDF of this Article]

Author Affiliations
ROCHESTER, MINN.

Dr. Thomas is a Fellow in Surgery, Mayo Foundation; Dr. Waugh is from the Division of Surgery, and Dr. Dockerty from the Division of Surgical Pathology, Mayo Clinic.

Footnotes
Read at the Fifty-Eighth Annual Meeting of the Western Surgical Association, Minneapolis, Dec. 1, 1950.

Abridgment of thesis submitted by Dr. Thomas to the Faculty of the Graduate School of the University of Minnesota in partial fulfilment of the requirements for the degree of Master of Science in Surgery.

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