Abstract
In the surgical treatment of carcinoma of the cardia of the stomach, one of the prime concerns of surgeons is the selection of the most ready approach to the lesion. In recent years, precise determination of the location and proximal extent of tumors of the cardia or esophagogastric junction has been made by fiberoptic esophagoscopy. However, not infrequently, it is enthusiastically discussed whether the chest should be opened to accomplish complete resection. Sometimes resection of the cardia is attempted by the abdominal approach to avoid thoracotomy, resulting in incomplete resection of the proximal esophagus involved by tumor and poor visualization during performance of the anastomosis. The present study reports the advantages of the left thoracoabdominal approach [I] f or surgical treatment of lesions of the esophagogastric junction.
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