Cargando…
Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option
OBJECTIVE: The optimal surgical approach for Siewert type II adenocarcinoma of the esophagogastric junction (AEG) is controversial. In this study, we evaluated the outcomes of total gastrectomy for Siewert type II/III AEG via the left thoracic surgical approach that is used at our center. METHODS: W...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2018
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384491/ https://www.ncbi.nlm.nih.gov/pubmed/30296865 http://dx.doi.org/10.1177/0300060518802923 |
_version_ | 1783396996488364032 |
---|---|
author | Hu, Can Zhu, Hao-te Xu, Zhi-yuan Yu, Jian-fa Du, Yi-an Huang, Ling Yu, Peng-fei Wang, Li-jing Cheng, Xiang-dong |
author_facet | Hu, Can Zhu, Hao-te Xu, Zhi-yuan Yu, Jian-fa Du, Yi-an Huang, Ling Yu, Peng-fei Wang, Li-jing Cheng, Xiang-dong |
author_sort | Hu, Can |
collection | PubMed |
description | OBJECTIVE: The optimal surgical approach for Siewert type II adenocarcinoma of the esophagogastric junction (AEG) is controversial. In this study, we evaluated the outcomes of total gastrectomy for Siewert type II/III AEG via the left thoracic surgical approach that is used at our center. METHODS: We identified 41 patients with advanced AEG in our retrospective database and analyzed their 3-year survival rate, upper surgical margin, postoperative complications, and index of estimated benefit from lymph node dissection. RESULTS: The 3-year overall survival rate of the whole group was 63%, but no difference was observed between Siewert type II and III AEGs. Esophageal exposure and lymphadenectomy were sufficient. Eight patients developed postoperative complications, but none of the patients developed anastomotic leakage. Dissection of lymph node station Nos. 19 and 110 may be necessary for patients with Siewert type II AEG. Multivariate analysis revealed that the cT category was the only independent risk factor. CONCLUSIONS: Total gastrectomy via an approach from the abdominal cavity into the thoracic cavity may be an optimal surgical technique for advanced Siewert type II AEG. |
format | Online Article Text |
id | pubmed-6384491 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-63844912019-02-27 Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option Hu, Can Zhu, Hao-te Xu, Zhi-yuan Yu, Jian-fa Du, Yi-an Huang, Ling Yu, Peng-fei Wang, Li-jing Cheng, Xiang-dong J Int Med Res Clinical Research Reports OBJECTIVE: The optimal surgical approach for Siewert type II adenocarcinoma of the esophagogastric junction (AEG) is controversial. In this study, we evaluated the outcomes of total gastrectomy for Siewert type II/III AEG via the left thoracic surgical approach that is used at our center. METHODS: We identified 41 patients with advanced AEG in our retrospective database and analyzed their 3-year survival rate, upper surgical margin, postoperative complications, and index of estimated benefit from lymph node dissection. RESULTS: The 3-year overall survival rate of the whole group was 63%, but no difference was observed between Siewert type II and III AEGs. Esophageal exposure and lymphadenectomy were sufficient. Eight patients developed postoperative complications, but none of the patients developed anastomotic leakage. Dissection of lymph node station Nos. 19 and 110 may be necessary for patients with Siewert type II AEG. Multivariate analysis revealed that the cT category was the only independent risk factor. CONCLUSIONS: Total gastrectomy via an approach from the abdominal cavity into the thoracic cavity may be an optimal surgical technique for advanced Siewert type II AEG. SAGE Publications 2018-10-08 2019-01 /pmc/articles/PMC6384491/ /pubmed/30296865 http://dx.doi.org/10.1177/0300060518802923 Text en © The Author(s) 2018 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Clinical Research Reports Hu, Can Zhu, Hao-te Xu, Zhi-yuan Yu, Jian-fa Du, Yi-an Huang, Ling Yu, Peng-fei Wang, Li-jing Cheng, Xiang-dong Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option |
title | Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option |
title_full | Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option |
title_fullStr | Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option |
title_full_unstemmed | Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option |
title_short | Novel abdominal approach for dissection of advanced type II/III adenocarcinoma of the esophagogastric junction: a new surgical option |
title_sort | novel abdominal approach for dissection of advanced type ii/iii adenocarcinoma of the esophagogastric junction: a new surgical option |
topic | Clinical Research Reports |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6384491/ https://www.ncbi.nlm.nih.gov/pubmed/30296865 http://dx.doi.org/10.1177/0300060518802923 |
work_keys_str_mv | AT hucan novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT zhuhaote novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT xuzhiyuan novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT yujianfa novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT duyian novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT huangling novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT yupengfei novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT wanglijing novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption AT chengxiangdong novelabdominalapproachfordissectionofadvancedtypeiiiiiadenocarcinomaoftheesophagogastricjunctionanewsurgicaloption |