Die subtotale Ösophagektomie mit Magentransposition als Standardoperation für das Adenokarzinom des ösophagogastralen Überganges

Technical aspects and results of the transhiatal resection in adenocarcinomas of the gastroesophageal junction*

“…Large differences were found when comparing the results of our study and those of Siewert et al. with the reported data of Faß, 5 who treated all adenocarcinomas of the gastroesophageal junction with a subtotal esophagectomy and gastric tube interposition. Faß reported a R0 resection rate of 84% and a local recurrence rate of 15% after R0 resection, which was higher than in our study (4.4%).…”

“…The prevalence of adenocarcinomas of the gastroesophageal junction is increasing 1–20 . In the literature, various statements about the classification and operative treatment of these tumors, which are not completely associated with the stomach or the esophagus, and their standardized operation methods are given 10 , 13–15 , 18 .…”

“…Type 1 tumors are treated by subtotal transhiatal abdominocervical esophageal resection with gastric tube interposition and cervical anastomosis, as in cases of esophageal carcinoma 1 , 12 . Type 2 and 3 tumors are treated by extended en bloc gastrectomy and transhiatal intrathoracic gastrojejunostomy, similar to cases of gastric carcinoma 1 , 3 , 5 , 8 , 11 , 17 , 19 …”