Laparoscopic transhiatal extended gastrectomy for type II, III esophagogastric junction cancer: a preliminary report of 55 cases

• Published in: Zhonghua wei chang wai ke za zhi Vol. 13; no. 9; p. 652
• Main Authors: Wang, Zi-qiang, Zhang, Yuan-chuan, Zhang, Qian, Zhu, Xiao-juan, Shu, Ye, Zhou, Zong-guang
• Format: Journal Article
• Language: Chinese
• Published: China 01.09.2010
• Subjects: Adult; Aged; Esophageal Neoplasms - surgery; Esophagectomy - methods; Esophagogastric Junction - surgery; Female; Gastrectomy - methods; Humans; Laparoscopy; Male; Middle Aged; Retrospective Studies; Stomach Neoplasms - surgery; Treatment Outcome
• ISSN: 1671-0274

To explore the feasibility and safety of laparoscopic extended gastrectomy through the transhiatal approach in patients with esophagogastric junction cancer. From Feb 2008 to May 2010, 55 cases with Siewert type II or III esophagogastric junction cancer underwent laparoscopic transhiatal extended gastrectomy at the West China hospital. Clinical data were analyzed retrospectively. Esophagogastric junction cancer was Siewert type II in 36 patients and Siewert type III in 19. Thirty-five cases underwent proximal gastrectomy, 20 total gastrectomy. There were 53 D2 lymph node excisions and 2 palliative resections. Fifty patients underwent laparoscopic extended gastrectomy successfully, with 5 converted to open operations. A safe anastomosis between inferior pulmonary vein and pulmonary hilum was achieved in the majority of patients. The mean operative time was(236.2±35.5) min and the mean estimated blood loss was(60.6±33.9) ml. There were no postoperative mortalities or anastomotic leakage/stenosis. No reoperation