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Updated: Aug 30, 2026
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
Published on: August 9, 2016
[Surgical approach for carcinoma in the gastric cardia]
Yong-bo Zheng1, Xiang-cheng Huang, Shi-ping He
1Department of General Surgery, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China.
Objective:
To explore the optimal surgical approach for carcinoma in the gastric cardia.
Methods:
A total of 157 patients with carcinoma in the gastric cardia were assigned into 2 groups according to the surgical approaches adopted, namely transabdominal (57 patients) and transthoracic approaches (100 patients), and the therapeutic effects of the two approaches were compared.
Results:
In the transabdominal group, the average volume of intraoperative blood transfusion was 164.91+/-36.83 ml, average operative time 219.04+/-10.72 min and average hospital stay 14.39+/-1.39 d, with an average number of 6.04+/-2.84 lymph nodes removed. In the transthoracic group, the 4 parameters were 575.50+/-40.12 ml, 286.40+/-7.94 min, 20.32+/-0.81 d, and 3.62+/-2.56 respectively. None of the cases developed pleural effusion in the former group, which had a tumor recurrence rate of 22.80% within the follow-up period for 3 to 60 months. In contrast, 15 cases had pleural effusion in the latter group with a tumor recurrence rate of 41.00%. There was a significant difference between the two groups in terms of the therapeutic effects.
Conclusion:
Transabdominal approach is the better alternative to transthoracic one for operation of carcinoma in the gastric cardia.
