Left-Sided Subtotal Esophagectomy for Carcinoma

  • H. R. Matthews
Conference paper


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 [1] 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.


Anastomotic Leak Aortic Arch Gastric Outlet Obstruction Inferior Thyroid Artery United Kingdom Introduction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    McKeown KC (1972) Trends in oesophageal resection for carcinoma. Ann R Coll Surg Engl 51:213–238PubMedGoogle Scholar
  2. 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
  3. 3.
    Orringer MB, Sloan HS (1978) Esophagectomy without thoracotomy. J Thorac Cardiovasc Surg 76:643–654PubMedGoogle Scholar
  4. 4.
    Goldfaden D, Orringer MB, Appelman HC, Kalish R (1986) Adenocarcinoma of the distal esophagus and gastric cardia: comparison of results of transhiatal esophagectomy and thoracoabdominal esophagogastrectomy. J Thorac Cardiovasc Surg 91:242–247PubMedGoogle Scholar

Copyright information

© Springer-Verlag 1988

Authors and Affiliations

  • H. R. Matthews
    • 1
  1. 1.Regional Department of Thoracic SurgeryEast Birmingham HospitalBirminghamUK

Personalised recommendations