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June 3, 1974

Surgical Treatment of Gastric Adenocarcinoma

JAMA. 1974;228(10):1286-1287. doi:10.1001/jama.1974.03230350056037

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BECAUSE glandular carcinomas of the stomach are not very sensitive to roentgen therapy, and respond poorly, if at all, to the chemotherapeutic agents currently available, the only possible curative solution to gastric carcinoma is surgical excision of the lesion. The operation should be performed prior to the development of metastases beyond the confines of the stomach and adjacent lymphatic pathways.

The history of surgery of gastric cancer began in 1881 when Billroth9 performed the first partial gastrectomy for cancer. In 1897, Schlatter10 performed the first total gastrectomy for cancer. During the first half of this century, surgical operations for gastric cancer became more and more extensive, and surgical techniques and knowledge of preoperative and postoperative care reached greater degrees of sophistication. By the 1940s, a total gastrectomy had become the operation of choice for gastric cancer in many clinics throughout the world.

During the early 1950s, in some