Transabdominal and left transdiaphragmatic approach in radical gastrectomy for malignant tumors of gastric fundus and esophagogastric junction

Objective To investigate the efficacy of transabdominal and left transdiaphragmatic gastrectomy on malignant tumors of gastric fundus and esophagogastric junction.Methods From March 2007 to June 2011,26 cases of advanced gastric cardia carcinoma and complicated with esophagogastric junction inva jejunal interposition reconstruction (18 cases complicated with cardia invasion and 8 cases with distant esophageal invasion) underwent transabdominal and left transdiaphragmatic radical gastrectomy and esophagojejunostomy.Results All cases were followed up for 8 months to 58 months (average 14 months).No case was complicated with anastomotic fistula or local or anastomotic recurrence.Six cases died of abdominal transplant recurrence from 28 months to 58 months after operation.Conclusions Compared with transthoracic and trans-thoracicabdominal approachs,transabdominal and left transdiaphragmatic approach was the best in radical gastrectomy for malignant tumors of gastric fundus and esophagogastric junction. Key words: Gastric fundus and esophagogastric junction;  Malignant tumor;  Operation