RT Journal A1 Pacelli F, Rosa F, Doglietto G T1 TOtal gastrectomy—reply JF Archives of Surgery JO Archives of Surgery YR 2009 FD March 16 VO 144 IS 3 SP 289 OP 292 DO 10.1001/archsurg.2008.585 UL http://dx.doi.org/10.1001/archsurg.2008.585 AB Lower cancers and those located in the middle, where it is possible to achieve a 5-cm proximal margin, are best treated with a distal subtotal gastrectomy.1 Given its retrospective nature, our study (which encompass a long period of time) also includes a group of patients with antral cancer who underwent, during the early years of our experience, the so-called de principe TG, which was subsequently abandoned.