J.Jpn. Surg. Soc.. 79(9): 1237-1241, 1978
Report on the annual meeting
ON ESOPHAGECTOMY AND PROXIMALGASTRECTOMY BY LEFT TRANSTHORACO-DIAPHRAGMATIC APPROACH WITH ESOPHAGOGASTROSTOMY WITH PLASTIC STOMACH
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The 1st Department of Surgery, Kurume University School of Medicine J. Takeda |
Postoperative pulmonary complication occured only in 9.1% and no breakdown of anastomosis was found.
Resection of lower portion of esophagus and cardia of the stomach and intrapleural esophagogastrostomy with left transpleual transdiaphragmatic approach has applied to 15 cases with cancer of cardia of the stomach.
In these 15 cases, postoperative pulmonary complication or breakdown of anastomosis was not occured. This operation method has some advantages as follows. The change of posture of patient is not necessary during operation. The secondary merit is the prevention of postoperative pulmonary complication induced by restriction of deep respiration which was caused incision on upper abdominal wall.
As resconstruction of esophagus using stomach requires only one anastomosis, the operation is completed easily fuickly.
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