J.Jpn. Surg. Soc.. 79(9): 1246-1250, 1978
Report on the annual meeting
RADICAL SURGERY FOR CARCINOMA OF ESOPHAGOGASTRIC JUNCTION-ABDOMINAL APPROACH COMBINED WITH RIGHT THORACOTOMY ON NEW DIVISED OPERATION TABLE
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The 2nd Dep. of Surg. Osaka University Medical School Kazuhiro Okagawa, et al. |
Therefore we have advocated that reasonable “distance from the upper margin” must be 4 cm apart from upper margin in case of well defined type of tumor and more than 4 cm in case of ill-defined type (infiltrated type) of tumor, and lower mediastinal lymphnodes should be clean up thourughly.
In order to satisfy our principle described above, abdominal approach combined with right thoracotomy is recommended and smooth postural change during surgery is required.
Operation table, devised by ourselves for esophageal sugrery, has a great advantage, because of easiness of possible ample postural changes, whenever necessary, while keeping surgical field aseptic. Our surgical procedures in a case of 69 y.o. female with carcinoma of esophagogastric junction were presented in 16 mm film which included total gastrectomy, interposition of jejunal segment as reconstructive procedure by abdominal approach combined with right thoracotomy on newly devised operation table.
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