title: Principles of radical surgery in gastric carcinoma.
abstract: The principles of radical surgery for gastric carcinoma are discussed on the basis of 102 patients treated between 1985 and 1988. Early gastric carcinomas accounted for 11.8% of the cases. Tumor stage, localization and histopathological Lauren grading were the most important parameters influencing the decision on the extent of the excision. Thirteen (22.4%) of the 58 operations done with curative intent were subtotal gastrectomies for small antral tumors. The remaining 45 patients required total gastrectomy with splenectomy. A lymphadenectomy of compartment II was obligatory in all radical procedures. Despite high co-morbidity of the patients the postoperative mortality was 3.1% for total gastrectomy, 4.8% for subtotal gastrectomy and 6.3% for palliative bypass procedures.
authors: Surgical Department, Technical University Aachen.
authors: J
authors: J
authors: Fass
authors: V
authors: V
authors: Schumpelick
mesh_terms: D002277:Carcinoma / Q000601:surgery*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008197:Lymph Node Excision; D010166:Palliative Care / Q000379:methods; D013156:Splenectomy; D013274:Stomach Neoplasms / Q000601:surgery*