[Subtotal esophagectomy with stomach transposition as standard operation for adenocarcinoma of the esophagogastric junction].
A modified Ivor Lewis operation was introduced to the surgical treatment of adenocarcinoma of the oesophagogastric junction in an investigative study of 122 consecutive patients. The procedure consisted of a transmediastinal subtotal oesophagectomy with mediastinal lymphadenectomy to the level of the tracheal bifurcation, a proximal 4/5th-gastrectomy with D2-lymphadenectomy and splenic hilar dissection and was completed by a collar oesophagogastrostomy using a gastric tube from the greater curvature. The new concept was followed by good oncologic results without anastomotic recurrencies and a reduction in potential lethal complications like mediastinal anastomotic leakage.
Fass
J
J
Chirurgische Universitätsklinik und Poliklinik, RWTH-Aachen.
Dreuw
B
B
Ophoff
K
K
Schumpelick
V
V
D000230:Adenocarcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004943:Esophagogastric Junction / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008197:Lymph Node Excision; D009364:Neoplasm Recurrence, Local / Q000401:mortality / Q000473:pathology / Q000601:surgery; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery; D012086:Reoperation; D013270:Stomach / Q000601:surgery*; D015996:Survival Rate
Die subtotale Osophagektomie mit Magentransposition als Standardoperation für das Adenokarzinom des ösophagogastralen Uberganges.