Abstract
Transabdominal resection for esophagocardial cancer and reestablishment of alimentary continuity using bypass methods were performed in 76 patients. Thirteen underwent a bypass with a gastric tube and in 30, a colonic segment was prepared. In the remaining 33, a jejunal segment was used as a bypass organ, with considerable success. The 5 year survival rates were 68.8 per cent in those with stages (I+II), 16.5 per cent in those with stage III, 12.6 per cent in those with stage IV and 22.5 per cent in all cases, indicating similar results compared to those with cancer located in the upper third of the stomach with the limited proximal extension within the esophagocardial junction and operated on during the same period.
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Hattori T, Hamai Y, Harada T, Ikeda H, Ikeda T. Enhancing effect of thoracotomy and/or laparotomy on the growth of ascitic tumor in rats. Jpn J Surg 1977; 7: 258–262.
Hattori T, Hamai Y, Harada T, Ikeda H, Ikeda T. Enhancing effect of thoracotomy and/or laparotomy on the development of lung metastases in rats after intravenous inoculation of tumor cells. Jpn J Surg 1977; 7: 263–268.
Hattori T, Hamai Y, Ikeda H, Harada T, Ikeda T. Enhancing effects of thoracotomy on tumor growth in rats. Gann 1978; 69: 401–406.
Hattori T, Hamai Y, Takiyama W, Hirai T, Ikeda T. Enhancing effects of thoracotomy on tumor growth in rats with special reference to the duration and timing of the operation. Gann 1980; 71: 280–284.
Hattori T, Hamai Y, Ikeda T, Takiyama W, Hirai T, Miyoshi Y. Inhibitory effects of immunopotentiators on the enhancement of lung metastases induced by operative stress in rats. Gann 1982; 73: 132–135.
Hattori T, Hamai Y, Ikeda T, Takiyama W, Hirai T, Miyoshi Y. Survival time of tumor bearing rats as related to operative stress and immunopotentiators. Jpn J Surg 1982; 12: 143–147.
Hattori T, Hamai Y, Ishii T. A new procedure for esophagocardial cancer without opening the chest. Shujutsu 1975; 29: 891–898. (in Japanese)
Hattori T, Hamai Y, Ishii T. A new procedure for transabdominal resection of esophagocardial cancer and cervical anastomosis obviating thoracotomy. Jpn J Surg 1975; 5: 211–221.
Hattori T, Hamai Y, Hirai T, Takiyama W, Ikeda T. Clinical studies on the transabdominal resection of esophagocardial cancer and cervical anastomosis using bypass method obviating thoracotomy. Jpn J Surg 1980; 10: 221–226.
Hattori T, Takiyama W, Hirai T, Miyoshi Y, Yoshihara T. Clinical studies on the transabdominal resection of esophagocardial cancer and cervical anastomosis with jejunal segment bypass obviating thoracotomy. Jpn J Surg 1982; 12: 329–336.
Japanese Research Society for Gastric Cancer. The general rules for the gastric cancer study in surgery. Jpn J Surg 1973; 3: 61–71.
Hattori T, Hirai T, Niimoto M, Toge T, Miyoshi Y, Yoshihara T, Otagaki S, Yamashita Y, Ohya M. A new operative method for esophagocardial cancer: Total gastrectomy, blunt dissection and retrosternal esophagojejunostomy using the EEA stapler. Jpn J Surg 1986; 16: 144–147.
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Hattori, T., Hirai, T., Niimoto, M. et al. Clinical studies on the transabdominal resection of esophagocardial cancer and cervical anastomosis using bypass methods. Analysis of data on 76 patients. The Japanese Journal of Surgery 16, 90–97 (1986). https://doi.org/10.1007/BF02471077
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DOI: https://doi.org/10.1007/BF02471077