Rational indication of total gastrectomy with abdominal approach for carcinoma of the esophagogastric junction
LIANG Han
Abstract：There is a recognized increase in incidence of esophagogastric junction cancer. A consensus was reached to classify into three subtypes according to the Siewert classification. Siewert Ⅱ adenocarcinoma and squamous carcinoma of esophagogastric junction existing in the same area have distinct clinicopathological characteristics. According to the results of clinical studies, left thoracoabdominal (LTA) approach did not improve survival and morbidity after LTA was worse than that after abdominal-transhithan (TH). The incidence of lymph node metastasis is high in the right paracardial, lesser curve, left paracardial nodes and also the nodes along the left gastric artery, common hepatic artery, celiac artery and proximal splenic artery. Dissection of the above-mentioned nodes is essential for obtaining therapeutic benefit. Splenectomy is not necessary unless the tumor infiltrates spleen straightly.
Keywords：esophagogastirc junctiongastric cancerlymph nodes dissectiontotal gastrectomy
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 614-616 )