[Cancer of the Esophagogastric Junction: Double Tract Reconstruction - Evidence and Technique].
| Autor: | Berlth F; Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Uniklinik Tübingen, Tübingen, Deutschland., Fetzner UK; Klinik für Allgemeinchirurgie, Viszeral-, Thorax-, Kinder- und Endokrine Chirurgie, Johann Wesling Klinikum Minden, Minden, Deutschland., Mihaljevic AL; Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Uniklinik Tübingen, Tübingen, Deutschland., Grimminger P; Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Johannes Gutenberg-Universität Mainz, Mainz, Deutschland. |
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| Jazyk: | němčina |
| Zdroj: | Zentralblatt fur Chirurgie [Zentralbl Chir] 2024 Apr; Vol. 149 (2), pp. 202-208. Date of Electronic Publication: 2024 Apr 02. |
| DOI: | 10.1055/a-2284-6597 |
| Abstrakt: | Adenocarcinoma of the esophagogastric junction (AEG) still represent a certain surgical challenge. In contrary to the trend of thoracoabdominal surgery for AEG I and AEG II cancer, the proximal gastrectomy is regaining popularity through new reconstruction methods such as the double tract reconstruction. Proximal gastrectomy followed by double tract reconstruction represents an alternative for the thoracoabdominal approach for suitable AEG II cancer and an alternative to the total gastrectomy for AEG III cancers. Latest studies suggest a functional benefit of proximal gastrectomy and double tract reconstruction in comparison to total gastrectomy. The accurate indication for proximal gastrectomy for locally advanced cancers has to be established in the near future as well as the influence of the size of the remnant stomach on the outcome, as Asian techniques for early lesions sometimes significantly differ from European. The following article reflects the present evidence on proximal gastrectomy and double tract reconstruction as well as technical aspects in the context of cancer of the esophagogastric junction. Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht. (Thieme. All rights reserved.) |
| Databáze: | MEDLINE |
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