J.Jpn. Surg. Soc.
ISSN 1880-1129

[Abstract] [Full Text PDF] （in Japanese / 892KB） [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 79(9): 1251-1254, 1978

Report on the annual meeting

THE MOST EXTENSIVE GASTRECTOMY FOR CARCINOMA OF THE STOMACH
－APPLEBY' PROCEDURE WITH MEDIAN STERNOTOMY－

1) 2nd Department of Surgery, Tokyo University School of Medicine
2) 1st Department of Surgery, Hamamatsu Medical College

Tatsuo Wada, M.D.1), Kenji Katayama, M.D.1), Toshiro Konishi, M.D.1), Tatsuhiko Takahama, M.D.1), Takuya Yamamura, M.D.1), Tohru Miyahara, M.D.2)

For the total or proximal gastrectomy of a gastric carcinoma invaded to the lower part of the esophagus, the most extensive procedure under a median sternotomy, severing the esophagus at level to the inferior pulmonary vein and the celiac axis at its origin from the aorta, was presented.
Five patients were operated on without any operative mortality, and the postoperative course of these cases was completely noneventful.
Resected specimens showed in all cases that the surgical wedge was histologically cancer free and en bloc dissection of metastatic lymphnodes was atisfactory.
Long follow-up results are still obscure since the first operation was performed only two years ago, but this procedure should be a treatment of choice for a carcinoma located in the cardia of the stomach because of its curability and feasibility under direct vision of the cardiac portion.

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