Results of the Different Surgical Options for the Treatment of Cancer of the Esophagogastric Junction: Review of the Evidence

Publication date: Available online 20 September 2019Source: Cirugía Española (English Edition)Author(s): Vicente Munitiz, Angeles Ortiz, David Ruiz de Angulo, Luisa F. Martinez de Haro, Pascual ParrillaAbstractThere is significant controversy in the management of cardiac cancer. It seems unanimous that Siewert type I tumors be operated on as cancer of the esophagus and Siewert type III as gastric cancer. However, for “true” cancer of the gastric cardia or Siewert II, the authors do not agree. There is the obvious need for free proximal and distal margins, as well as correct lymphadenectomy. For some, esophagectomy is necessary to perform correct radical oncological surgery, but other authors defend that an abdominal approach is sufficient to perform total gastrectomy and distal esophagectomy. Recent and older papers published do not clarify this issue, and their results are contradictory. Chemotherapy prior to surgery can reduce the size of the tumor and the presence of lymphadenopathies.ResumenExiste una importante controversia en el manejo quirúrgico del cáncer de cardias. Parece unánime que los tumores tipo i de Siewert se intervengan como un cáncer de esófago y los Siewert III como un cáncer gástrico. Sin embargo, sobre el «verdadero» cáncer de cardias o Siewert II no existe consenso. Es obvia la necesidad de un margen proximal y distal libre, así como una correcta linfadenectomía. Para algunos es necesaria la esofaguectomía para realizar una correcta c...
Source: Cirugia Espanola - Category: Surgery Source Type: research