|
KMID : 0364020010340120930
|
|
Korean Journal of Thoracic and Cardiovascular Surgery
2001 Volume.34 No. 12 p.930 ~ p.936
|
|
|
Treatment of Stomach Cancer Involving Esophagogastric Junction
|
|
Lee Jong-Mog
Baek Hee-Jong
Park Jong-Ho
Yim Su-Bin
Zo Jae-Ill
|
|
|
Abstract
|
|
|
Background: The origin site of carcinoma invading esophagogastric junction is variable. It may arise from squamous cell carcinoma of low esophagus, adenocarcinoma arising from Barrett’s esophagus, adenocarcinoma of gastric cardia, or extension from proximal stomach cancer. In Korea, the majority of adenocarcinoma invading esophago -gastric junction seems to arise from proximal gastric carcinoma.
Material and Method: We reviewed the data of surgically-resected gastric adenocarcinoma involving esophagogastric junction in KCCH between 1988 and 1999.
Result: There were 212 cases. Male to female ratio was 156 to 56. Age distribution was between 22 and 78. Variable surgical approaches including median laparotomy, laparotomy with left or right thoracotomy, left thoracotomy, and thoracoabdominal approach were used. Postoperative pathologic stages were : Stage ⅠA-7, ⅠB-11, Ⅱ-25, ⅢA-73, ⅢB-34, and Ⅳ-57. Curative resection was performed in 199 patients, and total gastrectomy was performed in 200 patients. There were 77.4%(164 cases) with esophageal involvement, 74.1%(157 cases) with tumor involvement in the abdominal LN, and 8%(17 cases) with mediastinal LN metastasis. Operative mortality was 3.3%, and over-all 5 year survival rate was 35%.
Conclusion: There are various surgical approaches and many things to consider for surgical resection, thoracic and abdominal approach may need for obtain proper resection margin and adequate lymph node dissection in
stomach cancer invading esophagogastric junction.
|
|
|
KEYWORD
|
|
|
Adenocarcinoma, Esophagogastric junction, Stomach neoplasm,
|
|
|
FullTexts / Linksout information
|
|
 
|
|
|
Listed journal information
|
|
  
|
|