Skip to main content
SpringerLink
Log in

A new procedure for transabdominal resection of esophagocardial cancer and cervical anastomosis obviating thoracotomy

  • Published:
The Japanese journal of surgery Aims and scope Submit manuscript

Abstract

A new operative technique for esophagocardial cancer was reported with resection and re-establishment of alimentary continuity at cervical esophagus which obviates thoracotomy but still retains adequate removal of the lesion. Ten cases of esophagocardial cancer thus treated were presented and the clinical data were analyzed. The distance between esophageal stump and esophagocardial junction measured on the resected specimen ranged from 3.0 to 6.7 cm with an average of 5.1 cm. No remaining tumor cells were detected microscopically on the oral cut margin of the specimen in all cases. To compensate for the inadequated lymph node dissection intensive postoperative adjuvant irradiation and/or chemotherapy was advocated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Reference

  1. Akiyama, H.: Blunt dissection of esophagus without opening the chest for cardial cancer, Geka Chiryo (Surgical Treatment) 29:458–460, 1973 (in Japanese).

    Google Scholar 

  2. Hanyu, F., Sakakibara, N., Kobayashi, S., Mikoshiba, Y. and Hamano, K.: Radical operation for the carcinoma of mid-third esophagus, Shijutsu (operation) 26: 731–735, 1971 (in Japanese).

    Google Scholar 

  3. Hattori, T., Ito, I. and Hirata, I.: Large-dose administration of Mitomycin-C during gastrectomy followed by homologous bone marrow transplantation, Gann 55: 211–224, 1964.

    PubMed  CAS  Google Scholar 

  4. Hattori, T., Ito, I., Hirata, K., Iizuka, T. and Abe, K.: Results of combined treatment in patients with cancer of the stomach; palliative gastrectomy, large-dose Mitomycin-C and bone marrow transplantation, Gann 57: 441–451, 1966.

    PubMed  CAS  Google Scholar 

  5. Hattori, T., Mori, A., Hirata, K. and Ito, I.: Five year survival rate of gastric cancer patients treated by gastrectomy, large-dose of Mitomycin-C and/or allogeneic bone marrow transplantation, Gann 63: 517–522, 1972.

    PubMed  CAS  Google Scholar 

  6. Humphrey, C.R. and Clifton, E.E.: Carcinoma of the distal part of the esophagus and cardia of the stomach, Surg. Gyne. Obst. 127: 737–743, 1968.

    CAS  Google Scholar 

  7. Inokuchi, K.: Indication for total gastrectomy, Rinsyo Geka (Clinical Surgery) 29: 311–318, 1974 (in Japanese).

    Google Scholar 

  8. Inokuchi, K., Nakamura, T., San-noe, Y., Sugimachi, I., Inuo, S. and Hirano, M.: A new modified gastric tube for re-establishment of alimentary continuity after esophagectomy, Shijutsu (Operation) 28: 1–25 (in Japanese).

  9. Japanese Research Society for Gastric Cancer: The general rules for the gastric cancer study in surgery. Jap. J. Surg. 3: 61–71, 1973.

    Article  Google Scholar 

  10. Kajitani, T. and Nishi, M.: Indication and operative procedure of total gastrectomy, Geka Chiryo (Surgical Treatment) 24: 172–185, 1971 (in Japanese).

    PubMed  CAS  Google Scholar 

  11. Nakayama, K., Hanyu, F., Yamaguchi, K., Kinoshita, Y., Nomoto, S., Mikoshiba, S., Hamano, K., Yamada, A., Akita, Y., Imakyurei, K. and Nakamura, K.: Antethoracal re-establishment of alimentary continuity by gastric tube or right colon segment, Geka Chiryo (Surgical Treatment) 19: 761–768, 1968 (in Japanese).

    PubMed  CAS  Google Scholar 

  12. Nishi, M., Matsuno, M., Kajisa, T., Kihara, K., Akune, T., Kimotsuki, K., Hasiguchi, Y., Nishiseto, N., Aiko, T., Funaseko, S., Fukumoto, T., Yotsumoto, K., Matsuyama, K., Mitani, K., Hagiwara, K., Odawara, Y. and Haraguchi, S.: Complications after resective surgery for thoracic esophageal and esophagocardial cancer, Nihon Shyokakigeka Gakkai Zasshi (J. Jap. Soc. Gastroenterol. Surg.) 8: 1–9, 1974 (in Japanese).

    Google Scholar 

  13. Ong, G.B. and Lee, T.C.: Pharyngogastric anastomosis after oesophago-pharyngectomy for carcinoma of the hypopharynx and cervical esophagus, Brit. J. Surg. 48: 193–200, 1960.

    PubMed  CAS  Google Scholar 

  14. Sasatomi, K., Gotanda, T. and Takeuchi, K.: Blunt dissection of thoracic esophagus without opening the chest, Shijutsu (operation) 28: 1181–1184, 1974 (in Japanese).

    Google Scholar 

  15. Teitler, R.F., Painter, R.W. and Foster, J.H.: Cancer of the cardia, Amer. J. Surg. 129: 89–93, 1975.

    Article  PubMed  CAS  Google Scholar 

  16. Turner, G.G.: Carcinoma of the esophagus. The question of its treatment by surgery, Lancet 230: 130–134, 1936.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, Research Institute for Nuclear Medicine and Biology, Hiroshima University, Hiroshima, Japan

    Takao Hattori, Yuichiro Hamai & Tsuyoshi Ishii

Authors
  1. Takao Hattori
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yuichiro Hamai
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Tsuyoshi Ishii
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hattori, T., Hamai, Y. & Ishii, T. A new procedure for transabdominal resection of esophagocardial cancer and cervical anastomosis obviating thoracotomy. The Japanese Journal of Surgery 5, 211–221 (1975). https://doi.org/10.1007/BF02469764

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02469764

Key Words

Search

Navigation