Adenocarcinoma of the distal esophagus and gastric cardia

Goldfaden, Daniel M.; Orringer, Mark B.; Appelman, Henry D.; Kalish, Randy J.

doi:10.1016/s0022-5223(19)36087-8

Cited by 90 publications

(11 citation statements)

References 11 publications

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“…Traction injury to the recurrent laryngeal nerve is an established complication of THO 28 and as expected has a higher incidence following THO. Other studies have a higher rate of injury to the nerve, with the majority of cases being reversible 3 , 11 , 29 . Advocates of ILO postulate that THO is associated with an increased risk of intrathoracic bleeding and chylothorax due to the blind dissection through the posterior mediastinum.…”

Section: Discussionmentioning

confidence: 99%

Transhiatal Versus Ivor‐lewis Oesophagectomy: Is There a Difference?

Rindani

Martín

Cox

1999

Aust. N.Z. J. Surg.

194

106

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The surgical approach to oesophagectomy was not an important determinant of morbidity and long-term survival in patients with oesophageal carcinoma. Transhiatal oesophagectomy was associated with a higher incidence of anastomotic complications and recurrent laryngeal nerve injury. Ivor-Lewis oesophagectomy had a higher mortality. In order to demonstrate a significant difference in morbidity or long-term survival between the two techniques 3100 patients would be required in each arm of a prospective randomized trial.

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Section: Discussionmentioning

confidence: 99%

Transhiatal Versus Ivor‐lewis Oesophagectomy: Is There a Difference?

Rindani

Martín

Cox

1999

Aust. N.Z. J. Surg.

194

106

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“…Goldfaden et al reported that in patients with adenocarcinoma of the distal esophagus and cardia transhiatal esophagectomy and partial proximal gastrectomy without thoracotomy yielded less mortality and morbidity than a standard transthoracic esophagogastrectomy [10]. Finley and Inculet stated that esophagogastrectomy and replacement by a stomach tube, avoiding thoracotomy, was a safe, effective method [8].…”

Section: Discussionmentioning

confidence: 99%

Clinicopathologic features of gastric cancer infiltrating the lower esophagus

et al. 1994

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A total of 211 patients with gastric cancer in the upper third of the stomach were clinicopathologically evaluated. Of the 211 patients, 82 had esophageal infiltration and 129 did not. These two groups were compared. The study on patients who had undergone resection and radioisotope (99mTc-phytate) uptake testing revealed that it was important to dissect the lymph nodes (predominantly nodes 7, 9, 11, and 16) during surgery in the patients with gastric cancer plus esophageal infiltration. When cancer infiltration of the esophagus exceeds 1 cm, the preferred surgical procedure is lower esophagectomy and total gastrectomy with abdominal and intrathoracic lymphadenectomy via the left thoracoabdominal approach. When residual cancer is suggested in the more proximal esophageal stump due to intramural metastasis from vascular invasion, rapid pathologic diagnosis should be made by frozen sections during surgery and then subtotal esophagectomy by blunt removal of the esophagus proximally from the aortic arch using a left thoracotomy considered.

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“…With respect to the complication and mortality rates, it is important to note that there are various subgroups bearing a different perioperative risk. Thus, preoperative radiochemotherapy is a separate risk factor increasing mortality 15–17 . In our series, 22 patients had undergone preoperative radiochemotherapy.…”

Section: Discussionmentioning

confidence: 87%

“…We have developed a modified technique of colon interposition that is simpler and safer than established procedures and which we have previously described in detail 12 . The frequency of postoperative complications and hospital mortalities associated with this modified procedure are no different from those associated with gastric transpositions and conventional colon grafts 15–18 . With respect to the complication and mortality rates, it is important to note that there are various subgroups bearing a different perioperative risk.…”

Section: Discussionmentioning

confidence: 95%

German experience with colon interposition grafting as an esophageal substitute^*

Fürst

Hüttl

Löhe

et al. 2001

Diseases of the Esophagus

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Preliminary results of a questionnaire survey showed that gastric transposition is the technique of choice in Germany to restore alimentary continuity after esophageal resection. Experience with colon interposition grafting is low. Only 13% of all centers perform this technique. Despite this limited experience, there appears to be no difference in the complication rate between gastric pull-through procedures and colon interpositions. A modification of established colon interposition techniques is possible when the right colon is used if it is prepared in such a way that the left colonic artery is the blood supplying vessel. This modified technique may be simpler to perform than previous procedures for creating a colon interposition graft and may also facilitate esophageal replacement using colon interposition grafting.

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Adenocarcinoma of the distal esophagus and gastric cardia

Cited by 90 publications

References 11 publications

Transhiatal Versus Ivor‐lewis Oesophagectomy: Is There a Difference?

Transhiatal Versus Ivor‐lewis Oesophagectomy: Is There a Difference?

Clinicopathologic features of gastric cancer infiltrating the lower esophagus

German experience with colon interposition grafting as an esophageal substitute^*

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Adenocarcinoma of the distal esophagus and gastric cardia

Cited by 90 publications

References 11 publications

Transhiatal Versus Ivor‐lewis Oesophagectomy: Is There a Difference?

Transhiatal Versus Ivor‐lewis Oesophagectomy: Is There a Difference?

Clinicopathologic features of gastric cancer infiltrating the lower esophagus

German experience with colon interposition grafting as an esophageal substitute*

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Product

Resources

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German experience with colon interposition grafting as an esophageal substitute^*