Gastrectomy Abdominal-Thoracic

Abdominal-thoracic gastrectomy is a surgical operation to remove the stomach using both abdominal and thoracic approaches.

Indications for surgery:

1. Stomach cancer in the proximal parts (cardia, fundus) with tumor spread to the esophagus.

2. Ulcerative lesions of the proximal stomach.

3. Cicatricial narrowing of the proximal parts of the stomach.

Operation technique:

1. Abdominal stage: a median laparotomy is performed, the stomach is mobilized by crossing the lesser and greater curvature. The esophagus is divided below the diaphragm.

2. Thoracic stage: posterolateral thoracotomy is performed in the 7th intercostal space. The abdominal part of the esophagus is mobilized and crossed as high as possible.

3. The stomach is completely removed. Esophagoenteroanastomosis (connection of the esophagus and small intestine) is established.

Advantages of the method: good visualization and radicality for tumors of the proximal stomach.

Complications: failure of esophagojejunostomy, pleural empyema, pneumonia.

Thus, abdominal-thoracic gastrectomy is a complex operation that allows radical removal of a tumor of the proximal stomach with minimal risk of complications.

Abdominothoracic approach to the treatment of gastric cancer.

_Treatment of tumor diseases is aimed at complete cure or achieving stable remission, but at the same time maintaining quality of life. To identify a specific group of patients who require two successive stages of surgical intervention and preservation of all anatomical structures of the mediastinum - chylous ascites or infiltration of the entire hepatic ligament simultaneously