Surgical Treatment of Gastric Carcinoma: Approach According to Tumor Stage or Total Gastrectomy as the Operation of Choice

  • H.-J. Meyer
  • J. Jähne
  • R. Pichlmayr
Conference paper


Although the incidence of gastric carcinoma is declining, epidemiologic investigations show that this tumor continues to be one of the leading causes of death from cancer.1–5 Even with increasingly differentiated diagnostic procedures and improved standardization of histopathologic classifications, the requirements for early diagnosis and sufficient radicality as basic preconditions for therapy remain as pressing as ever, since the extent of surgery continues to be a major topic of discussion, regardless of changed points of view.


Gastric Cancer Gastric Carcinoma Total Gastrectomy Proximal Gastrectomy Proximal Anastomosis 
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  1. 1.
    Gentsch HH: Maligne Tumoren des Magens, in Gall FP, Hermanek P, Tonak J (eds): Chirurgische Onkologie. Berlin-Heidelberg-New York, Springer, 1986, p 347.Google Scholar
  2. 2.
    Hölscher AH, Siewert JR: Surgical treatment of adenocarcinoma of the gastrooesophageal junction. Dig Surg 1985; 2: 1.CrossRefGoogle Scholar
  3. 3.
    Meyer H-J, Jähne J, Pichlmayr R: Magencarcinom: Gastrektomie de principe. Langenbecks Arch Chir 1987; 372: 571.PubMedCrossRefGoogle Scholar
  4. 4.
    Meyers WC, Diaminano RI, Rotolo FS, et al: Adenocarcinoma of the stomach. Ann Surg 1987; 205: 1.PubMedCrossRefGoogle Scholar
  5. 5.
    Siewert JR, Ketterl R: Chirurgische Standortbestimmung: Magencarcinom. Z Gastroenterol 1985; 29: 100.Google Scholar
  6. 6.
    Gall FP, Hermanek P: New aspects in the surgical treatment of gastric carcinoma-a comparative study of 1636 patients operated on between 1969 and 1982. Eur J Surg Oncol 1985; 11: 219.PubMedGoogle Scholar
  7. 7.
    Gennari L, Bozetti F, Bonfanti G, et al: Subtotal versus total gastrectomy for cancer of the lower two thirds of the stomach: a new approach to an old problem. Br J Surg 1986; 73: 534.PubMedCrossRefGoogle Scholar
  8. 8.
    Gilbertsen VA: Results of treatment of stomach cancer. Cancer 1969; 23: 1305.PubMedCrossRefGoogle Scholar
  9. 9.
    Grundmann R, Weber F, Raab M: Splenektomie bei Gastrektomie? Eine Analyse der postoperativen Morbidität und des Patientenüberlebens. Akt Chir 1987; 22: 91.Google Scholar
  10. 10.
    Günther B, Teichmann RK, Demmel N, et al: Aktuelle Chirurgie des Magencarcinomsk. Mün med Wschr 1987; 129: 285.Google Scholar
  11. 11.
    Kieninger G, Koslowski L, Kurz L, et al: Derzeitige operative Strategie beim Magencarcinom in Deutschland. Ergebnisse einer Umfrage, in Häring R (ed): Therapie des Magencarcinoms, med ed. Basel, Weinheim, 1984, p 95.Google Scholar
  12. 12.
    Kodoma Y, Sugimachi K, Soejima K, et al: Evaluation of extensive lymph node dissection for carcinoma of the stomach. World J Surg 1981; 5: 241.CrossRefGoogle Scholar
  13. 13.
    Lersch C, Schreiner J, Demmel N, et al: Monitoring immunocompetent cells in the peripheral blood of stomach cancer patients after splenectomy and gastrectomy. J Cancer Res Clin Oncol 1985; 110: 225.PubMedCrossRefGoogle Scholar
  14. 14.
    Longmire WP: Total gastrectomy for carcinoma of the stomach. Surg Gynecol Obstet 1947; 84: 21.PubMedGoogle Scholar
  15. 15.
    Longmire WP: Gastric carcinoma: is radical gastrectomy worth while? Ann Roy Coll Surg Engl 1980; 62: 25.Google Scholar
  16. 16.
    Lortat-Jacob JL, Giuli R, Estenne B, et al: Intérèt de la gastrectomie totale pour le traitement des cancers de l’ estomac. Chirurgie 1975; 101: 59.PubMedGoogle Scholar
  17. 17.
    Lundh G, Burn JI, Kolig G: A co-operative international study of gastric cancer. Ann Roy Coll Surg Engl 1974; 54: 219.Google Scholar
  18. 18.
    McNeer G, Bowden L, Booher RJ, et al: Elective total gastrectomy for cancer of the stomach: end results. Ann Surg 1974; 180: 252.PubMedCrossRefGoogle Scholar
  19. 19.
    Merkle P: Ausdehnung und Taktik bei der operativen Therapie des Magencarcinoms. Klinikarzt 1978; 7: 381.Google Scholar
  20. 20.
    Meyer H-J, Pichlmayr R, Geerlings H: Die Gastrektomie als Regeloperation beim Magencarcinom, in Bünte H, Langhans P, Meyer H-J, et al (eds): Aktuelle Therapie des Magencarcinoms. Berlin-Heidelberg-New York, Springer, 1985, p 60.Google Scholar
  21. 21.
    Mishima Y, Hirayama R: The role of lymph node surgery in gastric cancer. World J Surg 1987; 11: 406.PubMedCrossRefGoogle Scholar
  22. 22.
    Papachristou DN, Fortner JG: Choice of the operative procedure for adenocarcinoma of the gastric antrum. J Surg Oncol 1982; 21: 241.PubMedCrossRefGoogle Scholar
  23. 23.
    Pichlmayr R, Meyer H-J: Value of the gastrectomy “de principe;” in Herfarth C, Schlag P (eds): Gastric Cancer. Berlin-Heidelberg-New York, Springer, 1979, p 196.Google Scholar
  24. 24.
    Pichlmayr R, Meyer H-J: Indication for total gastrectomy. Nutrition, in publication.Google Scholar
  25. 25.
    Priesching A: Die Therapie des Magencarcinoms. Munich, Urban & Schwarzenberg, 1980.Google Scholar
  26. 26.
    Raab M, Godehardt E: Umfrage zur chirurgischen Behandlung des Magencarcinoms. Med Klin 1987; 82: 186.Google Scholar
  27. 27.
    Rush BF, Ravitch MM: The evaluation of the total gastrectomy. Inter Abstr Surg 1962; 114: 411.Google Scholar
  28. 28.
    Siewert JR, Lange J, Böttcher K, et al: Lymphadenektomie beim Magencarcinom. Langenbecks Arch Chir 1986; 268: 137.CrossRefGoogle Scholar
  29. 29.
    Siewert JR, Lange J, Böttcher K, et al: Magencarcinom, Bestandsaufnahme aus chirurgischer Sicht. Dtsch med Wschr 1987; 112: 622.PubMedCrossRefGoogle Scholar
  30. 30.
    Yoshino K, Haruyama K: Bedeutung der Splenektomie für die Lymphknotenausräumung beim Magencarcinom. Akt Chir 1983; 18: 81.Google Scholar
  31. 31.
    Inberg MV, Laurén P, Viikari SJ: Die Prognose des Magencarcinoms vom intestinalen Typ und vom diffusen Typ nach Magenresektion, in Beger HG, Bergemann W, Oshima H (eds): Das Magencarcinom. Stuttgart, Georg Thieme, 1980, p 247.Google Scholar
  32. 32.
    Bonzetti F, Bonfanti G, Bufalino R, et al: Adequacy of margins of resection in gastrectomy for cancer. Ann Surg 1982; 196: 685.CrossRefGoogle Scholar
  33. 33.
    Cunningham D, Hole D, Taggart DJ, et al: Evaluation of the prognostic factors in gastric cancer: the effect of chemotherapy on survival. Br J Surg 1987; 74: 715.PubMedCrossRefGoogle Scholar
  34. 34.
    Papachristou DN, Koras M, Fortner JG: Anastomotic recurrence in the oesophagus complicating gastrectomy for adenocarcinoma of the stomach. Br J Surg 1979; 66: 609.PubMedCrossRefGoogle Scholar
  35. 35.
    Gall FP, Hermanek P: Indikation für die systematische Lymphknotendissektion beim Magenkarzinom, in Rohde H, Troidl H (eds): Das Magencarcinom. Stuttgart, Georg Thieme, 1984, p 158.Google Scholar
  36. 36.
    Cuschieri A: Gastrectomy for gastric cancer: definitions and objectives. Br J Surg 1986; 73: 513.PubMedCrossRefGoogle Scholar
  37. 37.
    Hermanek P: Magencarcinom: chirurgische Pathologie, TNM-Systeme. Langen-becks Arch Chir 1982; 358: 57.CrossRefGoogle Scholar
  38. 38.
    Schlag P, Herfarth C: Beziehung zwischen Ausdehnung des operativen Primäreingriffs und locoregionären Rezidiven, in Rohde H, Troidl H (eds): Das Magencarcinom. Stuttgart, Georg Thieme, 1984, p 138.Google Scholar
  39. 39.
    Gouzi JL, Paquet JC: Paper presented at the 32nd World Congress of Surgery, Sydney 1987, Abstract 344.Google Scholar
  40. 40.
    Keighley MRB, Moore J, Roginski C, et al: Incidence and prognosis of N4 node involvement in gastric cancer. Br J Surg 1984; 71: 863.PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag New York, Inc. 1989

Authors and Affiliations

  • H.-J. Meyer
  • J. Jähne
  • R. Pichlmayr

There are no affiliations available

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