Surgical Technique and Difficult Situations from Arnulf H. Hoelscher (Conventional)

For the planning and performance of surgical treatment, the exact topographic assignment of carcinomas of the stomach and the esophagogastric junction is of central importance. In distal gastric adenocarcinoma of the antrum or the pylorus especially of category cT1 or cT2 with intestinal type of Lauren, a subtotal gastric resection can be performed. However in more proximally located carcinomas of the corpus or fundus especially those of the diffuse type, a total gastrectomy is necessary.