MANAGEMENT BY EN BLOC MULTIPLE ORGAN RESECTION OF CARCINOMA OF THE STOMACH INVADING ADJACENT ORGANS

  • 1 January 1981
    • journal article
    • research article
    • Vol. 152  (4) , 483-487
Abstract
During the period 1949-1971, 72 patients at the Sloan Kettering Cancer Center [New York, USA] underwent en bloc multiple organ resection with curative intent for adenocarcinoma of the stomach that had invaded adjacent organs and structures. The over-all 5 yr survival rate was 7% and the operative mortality, 37.5%. Patients with advanced stage tumors did poorly, although relief of symptoms and some prolongation of survival time were evident. Patients with early staged tumors limited to the stomach and adjacent perigastric lymph nodes had a remarkable salvage rate of 31% for a corresponding operative mortality of 25%. Most of the postoperative complications and deaths occurred in the earlier period of the study and are preventable with present day surgical management; few deaths occurred during the last 5 yr of the study. In the absence of detectable distant metastases, aggressive resection of these tumors is warranted in carefully selected patients with reasonable prospects of cure and palliation.

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