Oesophagogastrectomy and total gastrectomy for carcinoma of the stomach. A plea for subdiaphragmatic resection.
Carcinoma of the stomach which involves the gastro-oesophageal junction or cardia is usually advanced by the time the diagnosis is made; resection is therefore often only palliative in nature. Resection is usually performed by a thoraco-abdominal incision. Unfortunately there is a high risk of anastomotic leakage after a total or subtotal proximal gastrectomy and if this occurs within the chest mortality and morbidity are very high. In this article a plea is made for a purely abdominal approach.
D004943:Esophagogastric Junction / Q000601:surgery*; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods* / Q000401:mortality; D006801:Humans; D008297:Male; D008722:Methods; D013274:Stomach Neoplasms / Q000601:surgery*