bgab.mdalmost 2 years ago

This patient had 5 hours long operation due to a adenocc. of the cardia. Left sided thoracolaparotomy was made. Total gastrectomy, distal oesophagectomy, splenectomy, distal pancreatectomy, D2 lymph. dissection and oesophagojejunostomy sec. Roux-Y for reconstruction was made. Multivisceral resection may result,, R0'' resection, although the morbidity of this procedure may be much bigger.