title: Left thoracoabdominal approach in surgical treatment of adenocarcinoma of the esophagogastric junction in the Northern Henan Province of China.
abstract: BACKGROUND
  The left thoracoabdominal (LTA) approach is the conventional way to treat adenocarcinoma of the esophagogastric junction (EGJ). The study was to review the outcome of the LTA approach with adenocarcinoma of the EGJ in a single institution in China.
  
  
  METHODS
  135 consecutive adenocarcinomas of EGJ patients who underwent surgical treatment were retrospectively analyzed; data gathered included basic information on the tumor, surgical approach, postoperative complications and survival rate.
  
  
  RESULTS
  LTA esophagogastrectomy was performed in all patients. No patients received allogeneic blood transfusion during the operation. Among the resective procedures, proximal gastrectomy was performed in 122 cases. The mean operation time was 150 min (90-240). R(0) resection was obtained in 120 patients (88.9%). Two patients developed respiratory failure 2 days after surgery. Contrast swallow revealed a leak at the anastomosis in 2 patients. One early anastomotic stricture was observed radiologically, and pneumonia was observed in 3 patients. The number of patients with spontaneous pneumothorax and wound infections were 3 and 5, respectively. The percentage was zero in-hospital deaths. The overall survival rates at 1 year and 2 years were 89.2 and 69%, respectively. The median survival was 27.1 months.
  
  
  CONCLUSIONS
  LTA esophagogastrectomy has a major role in the management of adenocarcinoma of the EGJ, at least in the northern Henan Province of China.
authors.affiliation: Department of Oncosurgery, Anyang Tumor Hospital, PR China.
authors.forename: Baozhong
authors.initials: B
authors.lastname: Li
authors.forename: Qingqu
authors.initials: Q
authors.lastname: Guo
authors.forename: Haijun
authors.initials: H
authors.lastname: Yang
authors.forename: Jianyun
authors.initials: J
authors.lastname: Guan
authors.forename: Zhiqiang
authors.initials: Z
authors.lastname: Liu
authors.forename: Shoumiao
authors.initials: S
authors.lastname: Li
authors.forename: Guohua
authors.initials: G
authors.lastname: Liu
authors.forename: Linsheng
authors.initials: L
authors.lastname: Wei
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002681:China; D004938:Esophageal Neoplasms / Q000473:pathology / Q000601:surgery*; D016629:Esophagectomy / Q000379:methods*; D004943:Esophagogastric Junction / Q000473:pathology / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D015996:Survival Rate