THE SURGICAL TREATMENT OF PERFORATED GASTRIC CANCER

Abstract

We have performed emergency operations on 5 patients with perforated gastric cancer.
Three cases were pathologically diagnosed from frozen sections during the operation. Two of these three patients underwent radical surgery (R₂), but one was inevitably subjected to non-curative gastrectomy because of a poor general condition.
In the remaining two cases, malignancy was proved postoperatively. One of these 2 patients underwent a reoperation for lymph node dissection.
These experiences suggest that at the operation for a perforated stomach one has to make a careful observation of the perforated lesion and, if the condition requires, pathological diagnosis with frozen section is recommended.
Although the operative procedure should be selected according to intraperitoneal findings and general condition, a curative operation including lymph node dissection is desirable.