Copyright
©The Author(s) 2019.
World J Gastrointest Oncol. Aug 15, 2019; 11(8): 567-578
Published online Aug 15, 2019. doi: 10.4251/wjgo.v11.i8.567
Published online Aug 15, 2019. doi: 10.4251/wjgo.v11.i8.567
System | Classification | Description |
Siewert classification | Type I | 1-5 cm above the EGJ |
Type II | Within 1 cm above and 2 cm below the EGJ | |
Type III | 2-5 cm below the EGJ | |
AJCC/UICC TNM | Esophageal adenocarcinomas | Within 2 cm proximal or distal to the EGJ |
Gastric cancer | More than 2 cm distal from the EGJ | |
Japanese classification | - | A tumor (≤ 4 cm diameter) with an epicenter locating within 2 cm of the EGJ, whether adenocarcinoma or squamous cell carcinoma |
Approach | Surgical technique | Procedure | Disadvantage |
RT | Ivor Lewis | Midline laparotomy | Limited proximal margin |
Requirement of body position change | |||
Surgical stress is significant | |||
Mckeown | Right thoracotomy | Increased risk for recurrent laryngeal nerve injury | |
Midline laparotomy | Surgical stress is significant | ||
Left cervical | |||
LT | LTA | Left thoracotomy extended to upper midline laparotomy | No middle or upper thoracic lymphadenectomy |
Surgical stress is significant | |||
Left thoracophrenolaparotomy | Transdiaphragmatic thoracotomy | No middle or upper thoracic lymphadenectomy | |
Midline laparotomy | Surgical stress is significant | ||
TH | - | Midline laparotomy | Limited proximal margin |
Left cervical | Surgical view of the lower mediastinum is poor | ||
No middle or upper thoracic lymphadenectomy | |||
TG | - | Midline laparotomy | Limited proximal margin |
No thoracic lymphadenectomy |
- Citation: Zhang S, Orita H, Fukunaga T. Current surgical treatment of esophagogastric junction adenocarcinoma. World J Gastrointest Oncol 2019; 11(8): 567-578
- URL: https://www.wjgnet.com/1948-5204/full/v11/i8/567.htm
- DOI: https://dx.doi.org/10.4251/wjgo.v11.i8.567