Abstract
Limited en bloc resection of the gastroesophageal junction includes complete removal of the esophageal segment with metaplastic mucosa, the lower esophageal sphincter and a part of the lesser gastric curvature and formation of a neofundus. Since even early adenocarcinomas of the distal esophagus (T1b) seed lymph node metastases in up to 20% of patients, removal of the lymph nodes of the lesser curvature, the hepatic and splenic arteries, the celiac trunk, the para-aortal region, and the inferior mediastinum is an essential part of the operation.
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© 2007 Springer-Verlag Berlin Heidelberg
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Kutup, A., Yekebas, E.F., Izbicki, J.R. (2007). Limited Resection of the Gastroesophageal Junction with Isoperistaltic Jejunal Interposition. In: Clavien, PA., Sarr, M.G., Fong, Y., Georgiev, P. (eds) Atlas of Upper Gastrointestinal and Hepato-Pancreato-Biliary Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68866-2_12
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DOI: https://doi.org/10.1007/978-3-540-68866-2_12
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-20004-8
Online ISBN: 978-3-540-68866-2
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