Laparoscopic transabdominal hiatal extended gastrectomy for type Ⅱ and m esophagogastric junction cancer
10.3760/cma.j.issn.1673-9752.2012.01.018
- VernacularTitle:腹腔镜经食管裂孔行扩大胃切除术治疗Ⅱ和Ⅲ型食管胃交界癌
- Author:
Ziqiang WANG
;
Yuanchuan ZHANG
;
Xiangbing DENG
;
Zhong CHENG
;
Wen ZHUANG
;
Jiankun HU
;
Zongguang ZHOU
- Publication Type:Journal Article
- Keywords:
Esophagogastric junction neoplasms;
Laparoscopy;
Extended gastrectomy
- From:
Chinese Journal of Digestive Surgery
2012;11(1):61-65
- CountryChina
- Language:Chinese
-
Abstract:
The incidence of esophagogastric junction cancer (EGJC) is rising dramatically both in western countries and in China.For type Ⅱ EGJC,controversies over the optimal surgical approach still remain.More and more studies support the abdominal transhiatial extended gastrectomy to be superior to the abdominothoracic combined approach.The aim of this report is to evaluate the feasibility and safety of laparoscopic transabdominal hiatal extended gastrectomy for surgical treatment of type Ⅱ and Ⅲ esophagogastric junction cancer.Based on clinical experience of 95 patients who underwent laparoscopic tansabdominal hiatal extended gastrectomy,we conclude that laparoscopic transabdominal hiatal extended gastrectomy is feasible and safe,offering a safer and simpler way of intramediastinal dissection and digestive tract reconstruction at experienced hands as compared with open surgery.This procedure also offers the merit of longer esophageal resection length without entering the pleural cavity.
