Surgical Therapy

  • Jun Qian
  • Yu Gong
  • Qin Huang
  • A. Travis Manasco
  • Liming Tang
  • Jason S. Gold


A growing body of evidence suggests that early stage pT1 gastric cardiac cancer can be better resected endoscopically, but advanced, nonmetastatic resectable tumors without esophageal invasion or with esophageal invasion but in the length shorter than 3 cm above the gastroesophageal junction may be resected via the transhiatal abdominal approach. Laparoscopic resection has also emerged as a safe, economic, minimally invasive alternative. A universally accepted resection/reconstruction protocol remains to be established for this potentially fatal cancer.


Gastric cancer Early gastric carcinoma Stomach Cancer Endoscopic resection Laparoscopic resection Gastric cardia 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Jun Qian
    • 1
  • Yu Gong
    • 2
  • Qin Huang
    • 3
    • 4
  • A. Travis Manasco
    • 5
  • Liming Tang
    • 6
  • Jason S. Gold
    • 7
    • 8
  1. 1.Department of General Surgery, Center of Gastrointestinal SurgeryChangzhou No 2 People’s Hospital, Affiliated Hospital of Nanjing Medical UniversityChangzhouPeople’s Republic of China
  2. 2.Department of Gastrointestinal SurgeryAffiliated Changzhou No 2 Peoples Hospital Nanjing Medical UniversityChangzhouPeople’s Republic of China
  3. 3.Pathology and Laboratory MedicineVeterans Affairs Boston Healthcare SystemWest RoxburyUSA
  4. 4.Harvard Medical School and Brigham and Women’s HospitalBostonUSA
  5. 5.Department of AnesthesiologyWashington University in St. Louis School of Medicine, Barnes Jewish HospitalSt. LouisUSA
  6. 6.Department of GastroenterologyChangzhou Second Hospital, Nanjing Medical UniversityChangzhouPeople’s Republic of China
  7. 7.Department of SurgeryHarvard Medical School/Brigham and Women’s HospitalBostonUSA
  8. 8.Veterans Affairs Boston Healthcare SystemWest RoxburyUSA

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