The surgical therapy for perforated gastric cancer.

The treatment of nine cases of perforation secondary to gastric carcinoma was reviewed. Resectional therapy appears to be the preferred approach to perforated gastric cancer. When the patient's condition or the extent of the disease preclude gastrectomy, the technique of plication with omental patch proved to be a satisfactory alternative in this small series. A review of the literature disclosed conflicting views on the usefulness of this procedure for perforated gastric cancer.