Abstract
Background: Adenocarcinoma of the GEJ type II can be resected using two surgical approaches: transthoracic esophagectomy or transhiatal extended gastrectomy. Both allow for a complete tumor resection, yet there is an ongoing controversy about which surgical approach is superior with regards to quality of life and oncological outcomes in particular overall survival. While some studies suggest a better oncological outcome after transthoracic esophagectomy, others favor transhiatal extended gastrectomy for a better postoperative quality of life.
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