[Cancer of the cardia: value of total gastrectomy with partial esophagectomy by laparotomy-right thoracotomy approach].
BACKGROUND
Surgical resection of cardial and subcardial cancers is often associated with pathological involvement of esophageal section margin, resulting in early anastomotic recurrences. Total gastrectomy associated with partial esophagectomy through combined abdominal and right thoracic approach allows esophageal section under azygos vein.


METHODS
We studied, in 17 patients operated on using this procedure, post-operative morbidity, mortality and anastomotic relapse.


RESULTS
No post-operative death, fistula or anastomotic relapse have been observed. Two patients exhibited benign infectious post-operative complication.


CONCLUSIONS
Total gastrectomy with partial esophagectomy through combined abdominal and right thoracic approach seems therefore to be considered as a good alternative in the surgical management of cardial and subcardial carcinomas.
Guillem
P
P
Service de Chirurgie Digestive et Générale, Hôpital Claude Huriez, CHRU de Lille.
Pattou
F
F
Huguenin
A
A
Triboulet
J P
JP
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D002299:Cardia; D016629:Esophagectomy; D005260:Female; D005743:Gastrectomy; D006801:Humans; D007813:Laparotomy; D008197:Lymph Node Excision; D008297:Male; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery*; D016019:Survival Analysis; D013908:Thoracotomy; D013997:Time Factors