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Adenocarcinoma of the Esophagogastric Junction pp 93–106Cite as

Surgical Strategies for Adenocarcinoma of the Esophagogastric Junction

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Part of the book series: Recent Results in Cancer Research ((RECENTCANCER,volume 182))

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.

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Authors and Affiliations

  1. Department of Surgery, University Hospital Zurich, Raemistrasse 100, 8091, Zurich, Switzerland

    Paul M. Schneider

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  1. Marc Schiesser
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  2. Paul M. Schneider
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Correspondence to Paul M. Schneider .

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Editors and Affiliations

  1. Klinik für Viszeral- und, Transplantationschirurgie, Universitätsspital Zürich, Rämistr. 100, Zürich, 8091, Switzerland

    Paul M. Schneider

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Schiesser, M., Schneider, P.M. (2009). Surgical Strategies for Adenocarcinoma of the Esophagogastric Junction. In: Schneider, P. (eds) Adenocarcinoma of the Esophagogastric Junction. Recent Results in Cancer Research, vol 182. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-70579-6_8

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  • DOI: https://doi.org/10.1007/978-3-540-70579-6_8

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