Pancreato-total gastrectomy and splenectomy for advanced carcinoma of the stomach

✍ Scribed by Alexander Brunschwig

• Publisher: John Wiley and Sons
• Year: 1948
• Tongue: English
• Weight: 544 KB
• Volume: 1
• Category: Article
• ISSN: 0008-543X
• DOI: 10.1002/1097-0142(194809)1:3<427::aid-cncr2820010308>3.0.co;2-g

✦ Synopsis

is general agreement that the results of surgery for cancer are improved when it is possible to resect widely not only the primary growth but also, and at the same time, those tissues to which direct spread is known to occur but has not yet taken place. The classic example of this is the situation in carcinoma of the breast. The radical operation of resection of the breast itself, the pectoral muscles, and the axillary contents cn masse has yielded far better results than simple mastectomy, even when there is no gross evidence of spread beyond the breast.

In regard to the stomach, the nodes of the lesser and greater curvatures usually are the first to be involved by metastases. Following this, there is spread to the liver, greater omentum, and peritoneum of the upper abdomen. I n advanced carcinoma of the stomach the author has been impressed by the From Memorial Hospital, New York, N. Y