J.Jpn. Surg. Soc.. 91(9): 1211-1214, 1990
Report on the annual meeting
STUDY ON RADICAL OPERATION OF THE UPPER PART OF THE ADVANCED GASTRIC CANCER WITH ESOPHAGEAL INVASION
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The Institute of Gastroenterology, Tokyo Women's Medical Collage, Tokyo, Japan Hiroyoshi Suzuki, Hiroko Ide, Yoichi Kitamura |
The length of esophageal invasion, the metastasis of mediastinal lymph nodes, gastrectomy, combined resection of splene and distal pancreas, and R4 lymph nodes resection ere examined. The resection of R4 lymph nodes means the removal of n16 lymph nodes.
We performed esophagectomy at 6cm proximal from the esophagogastric border, total gastrectomy and splenopancreatectomy, S2 cases had resection of the diaphragm around the esophageal hiatus and the crura of the diaphragm in addition to the above. Complete removal of mediastinal lymph nodes from 107 to 112 with R4 resection of abdominal lymph nodes was found useful for the improvement of radical operation for CE cancer.
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