Transthoracic extended total gastrectomy for malignant obstruction of the cardio-oesophageal junction

Smith, Roger

doi:10.1002/bjs.1800610707

Cited by 3 publications

(1 citation statement)

References 13 publications

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“…Postoperative mortality (2.6% in our series) varies from one series to another (Table 3). Anastomotic leakage (1.2% in our series without mortality) represents the main postoperative complication and the main cause of mortality in many series [7,17,[27][28][29][30][31][32][33]. We still prefer manual anastomoses using 1 interrupted layer.…”

Section: Discussionmentioning

confidence: 91%

Carcinoma of the gastric cardia: Surgical management and long‐term survival

Moreaux¹,

Msika²

1988

World j. surg.

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From 1964 to 1985. a total of 114 patients (94 men and 20 women) were operated on. The resectability rate was 71%, and 53% of the patients were thought potentially curable. Either abdominal or combined abdominal and thoracic approaches were preferred. Proximal esophagogastrectomy (54 casesJ was performed in cases with wide esophageai extension and total gastrectomy (27 cases} was performed for tumors localized in the gastric cardia. There was intraoperative examination of the esophageai margin. There was lymph node involvement in 57% of cases and esophageal extension in 59%. Three patients died in the postoperative course, none after curative resection. There was 1 (1.2%) clinical anastomotic leak. The overall 5-year survival rate was 18.5%. The actuarial 5-year survival rate was 29 -+ 8% after resection and 40 _+ 7% after curative resection, and the 10-year survival rate was 20 -+ 7 and 28 -+ 7. respectively. Symptom duration, age, or sex had no significant influence on prognosis. Lymph node involvement, tumor depth penetration, and esophageal extension were the main prognostic factors.

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Section: Discussionmentioning

confidence: 91%

Carcinoma of the gastric cardia: Surgical management and long‐term survival

Moreaux¹,

Msika²

1988

World j. surg.

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Extented esophago-gastretomy as surgical treatment for carcinoma of the cardia

González¹,

Garcia²,

Selas³

et al. 1981

The Japanese Journal of Surgery

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With the object of designing a feasible and more radical surgical intervention for the treatment of carcinoma of the gastric cardia and improving the long term survival of these patients, a procedure was described which entails total esophagogastrectomy and resection of the distal pancreas, spleen and regional lymphnodes. The esophagus was mobilized via the diaphragmatic hiatus without thoracotomy. Intestinal continuity, installed isoperistaltically was restituted in the same operation using a segment of transverse and descending colon transferred to the left lateral cervical aspect by way of the posterior mediastinum. The procedure was used in four patients and mortality and serious complications were nil.

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Benign strictures of the esophagus

Bremner¹

1982

Current Problems in Surgery

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Transthoracic extended total gastrectomy for malignant obstruction of the cardio-oesophageal junction

Abstract: Results in a small series of extended total gastrectomies support what was said of the operation over 20 years ago-that reservations about its use in adenocarcinoma of the cardio-oesophageal junction should be abandoned.

Cited by 3 publications

References 13 publications

Carcinoma of the gastric cardia: Surgical management and long‐term survival

Carcinoma of the gastric cardia: Surgical management and long‐term survival

Extented esophago-gastretomy as surgical treatment for carcinoma of the cardia

Benign strictures of the esophagus

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