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Schiesser, M; Schneider, P M (2010). Surgical strategies for adenocarcinoma of the esophagogastric junction. Recent Results in Cancer Research, 182:93-106.

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Abstract

This chapter summarizes the surgical strategies for adenocarcinomas of the distal esophagus, gastric cardia, and subcardial gastric cancer invading the cardia+/-distal esophagus known as adenocarcinomas of the esophagogastric junction (AEG). The different surgical approaches according to the tumor origin, localization, and tumor stage are addressed with particular attention to the extent and type of resection and appropriate lymphadenectomy (LAD). The classification of AEG according to Siewert is helpful for the selection of the surgical strategy. While type I tumors benefit from a transthoracic en bloc esophagectomy including a two-field LAD, type II and III tumors can be treated by an extended total gastrectomy with a transhiatal resection of the distal esophagus and LAD of the lower mediastinum and the abdominal D2 compartment. Limited resections appear to be -possible for early tumor stages in selected cases of type I-III tumors.

Item Type:Journal Article, refereed, further contribution
Communities & Collections:04 Faculty of Medicine > University Hospital Zurich > Clinic for Visceral and Transplantation Surgery
DDC:610 Medicine & health
Language:English
Date:2010
Deposited On:13 Apr 2011 15:14
Last Modified:27 Nov 2013 16:20
Publisher:Springer
ISSN:0080-0015
Publisher DOI:10.1007/978-3-540-70579-6_8
PubMed ID:20676874
Citations:Web of Science®. Times Cited: 1
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Scopus®. Citation Count: 5

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