J.Jpn. Surg. Soc.. 79(9): 1255-1257, 1978

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Report on the annual meeting

LAPAROSTERNOPHRHNOTOMY APPROACH TO RESECTION OF THE MALIGNANCIES AT THE ESOPHAGOGASTRIC JUNCTION

Without noticing that the similar method was first described by Wangensteen in 1951, we have employed this technic on twenty-nine consecutive cases with malignancies at the esophagogastric junction.
From our experience through this series, we have formed these conclusions.
1. At least 7 cm in vivo length of the esophagus can be resected.
2. The lymphnodes around the lower thoracic esophagus can be dissected under direct vision.
3. It provides enough operative field for safe anastomosis.
This method seems lost to general use, but authors believe that it should be revived as an excellent approach to the esophageal hiatus in cancer surgery.

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