[Abdomino-right-thoracic esophagectomy with intrathoracic anastomosis in Barrett's cancer].
The modified technique of abdomino-right-thoracic esophagectomy (the Lewis-Tanner approach) is increasingly being favoured as the surgical procedure of choice in patients with resectable adenocarcinoma of the distal esophagus, so-called Barrett's cancer. The technical details of this procedure and the reconstruction of gastrointestinal continuity using a gastric tube with high intrathoracic anastomosis are illustrated, as they have proved useful in our own practice during recent years.
Siewert
J R
JR
Chirurgische Klinik und Poliklinik, Klinikum rechts der Isar der TU München.
Bartels
H
H
Stein
H J
HJ
D000005:Abdomen / Q000601:surgery*; D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods*; D001471:Barrett Esophagus / Q000473:pathology / Q000601:surgery*; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004947:Esophagus / Q000473:pathology / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods; D009367:Neoplasm Staging; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D011230:Precancerous Conditions / Q000473:pathology / Q000601:surgery*; D013270:Stomach / Q000601:surgery; D013908:Thoracotomy / Q000379:methods*; D014826:Vocal Cord Paralysis / Q000209:etiology