En bloc oesophagectomy for cancer of the distal oesophagus, cardia and proximal stomach

  • Jeffrey A. Hagen
  • Tom R. DeMeester


The first successful resection of the thoracic oesophagus without re-establishing gastrointestinal continuity was performed in 1913 by Franz Torek. The patient continued to eat after surgery by placing a rubber tube between her cervical oesophagostomy and gastrostomy and lived for 13 years. The first surgeon to establish normal alimentation after oesophagectomy was Oshawa who, in 1933, performed oesophageal resection followed by oesophagogastrostomy in eight patients. Five years later Adams and Phemister reported their results with one-stage resection and intrathoracic oesophagogastrostomy.


Bloc Resection Oesophageal Cancer Proximal Stomach Thoracic Oesophagus Gastric Cardia 
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Further reading

  1. Akiyama H, Tsurumaru M, Kawamura T, Ono Y. Principles of surgical treatment for carcinoma of the esophagus: analysis of lymph node involvement. Ann Surg 1981; 194: 438–46.PubMedCentralPubMedCrossRefGoogle Scholar
  2. DeMeester TR, Zaninotto G, Johansson K-K Selective therapeutic approach to cancer of the lower esophagus and cardia. J Tborac Cardiovasc Surg 1988; 95: 42–54.Google Scholar
  3. Hagen JA, Peters JH, DeMeester TR. Superiority of extended en bloc esophagogastrectomy for carcinoma of the lower esophagus and cardia. J Thorac Cardiovasc Surg 1993; 106: 850–9.PubMedGoogle Scholar
  4. Skinner DB. En bloc resection for neoplasms of the esophagus and cardia. J Tborac Cardiovasc Surg 1983; 85: 59–71.Google Scholar
  5. Skinner DB, Dowlatshahi KD, DeMeester TR. Potentially curable cancer of the esophagus. Cancer 1982; 50: 2571–5.PubMedGoogle Scholar
  6. Skinner DB, Ferguson MK, Soriano A, Little AG, Staszak VM. Selection of operation for esophageal cancer based on staging. Ann Surg 1986; 204: 391–401.PubMedCentralPubMedCrossRefGoogle Scholar
  7. Sous HU, Borchard F. Cancer of the distal esophagus and cardia: incidence, tumorous infiltration and metastatic spread. Ann Surg 1986; 203: 188–95.CrossRefGoogle Scholar
  8. Wong J. Esophageal resection for cancer: the rationale of current practice. Am J Surg 1987; 153: 18–24.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 1994

Authors and Affiliations

  • Jeffrey A. Hagen
    • 1
  • Tom R. DeMeester
    • 1
  1. 1.Department of SurgeryUniversity of Southern California School of MedicineLos AngelesUSA

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