Left-Sided Subtotal Esophagectomy for Carcinoma
In the past 20 years it has been recognised that resectable tumors of the oesophagus should be treated by subtotal oesophagectomy whenever possible, irrespective of the level at which the tumor lies, in order to improve lymphatic clearance and diminish the incidence and consequence of anastomotic leaks. To achieve this objective McKeown  developed a three-part right-sided approach which gives excellent clearance of the tumor, but is time-consuming and requires extensive dissection in the abdomen before the resectability of the tumor in the chest can be confirmed.
KeywordsAnastomotic Leak Aortic Arch Gastric Outlet Obstruction Inferior Thyroid Artery United Kingdom Introduction
Unable to display preview. Download preview PDF.
- 2.McKeown KC (1985) The surgical treatment of carcinoma of the oesophagus: a review of the results in 478 cases. J R Coll Surg 30:1–14Google Scholar