Left thoracic subtotal oesophagectomy

  • H. Matthews


This operation provides a means for resecting the whole thoracic oesophagus through a sequential two-part approach, with anastomosis of the oesophagus to the fundus of the stomach in the neck, from the left side. The principal indication for this approach is resection of tumours of the thoracic oesophagus and cardia1, but it is also applicable to resection of benign oesophageal strictures or the severely disrupted oesophagus2. The main advantages of this method of subtotal oesophagectomy are: that it permits exploration of the tumour as the first part of the operation; that it is quicker and simpler than a right-sided three-part approach, i.e. laparotomy, right thoracotomy and right neck incision; and that it permits dissection of the tumour and its lymphatic or other extensions under direct vision.


Aortic Arch Thoracic Oesophagus Lower Oesophagus Neck Incision Inferior Thyroid Artery 
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  1. 1.
    Matthews HR, Steel A. Left-sided subtotal oesophagectomy for carcinoma. Br Surg 1987; 74: 1115–17.CrossRefGoogle Scholar
  2. 2.
    Matthews HR, Mitchell IM, McGuigan JA. Emergency subtotal oesophagectomy. Br J Surg 1989; 76: 918–20.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1994

Authors and Affiliations

  • H. Matthews
    • 1
    • 2
  1. 1.Regional Department of Thoracic SurgeryEast Birmingham HospitalBirminghamUK
  2. 2.Department of Biological SciencesUniversity of WarwickUK

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