TY - JOUR AU - Huang, Yun AU - Liu, Gang AU - Wang, Xiumei AU - Zhang, Yan AU - Zou, Guijun AU - Zhao, Zhanwei AU - Cao, Zhen AU - Zhao, Huibin AU - Yuan, Xinpu AU - Zhang, Chaojun PY - 2021 DA - 2021/03/13 TI - Safety and feasibility of total laparoscopic radical resection of Siewert type II gastroesophageal junction adenocarcinoma through the left diaphragm and left thoracic auxiliary hole JO - World Journal of Surgical Oncology SP - 73 VL - 19 IS - 1 AB - The incidence of adenocarcinoma of the esophagogastric junction (AEG) is rising every year; however, the mode of operation for Siewert II AEG is still controversial. Accumulating evidence has shown that transabdominal surgery is better than transthoracic surgery for Siewert II AEG with esophageal invasion < 3 cm. In patients with obesity, a large tumor size, and high transection of the esophagus, the transabdominal esophageal hiatus approach for lower mediastinal lymph node dissection and posterior mediastinal anastomosis is difficult. Thus, total laparoscopic radical resection of Siewert II AEG is carried out through the left diaphragm and left chest auxiliary hole for the optimal surgical field of vision and space. In this prospective study, we assessed the feasibility of carrying out the procedure abdominally through the left diaphragm and auxiliary hole. SN - 1477-7819 UR - https://doi.org/10.1186/s12957-021-02183-9 DO - 10.1186/s12957-021-02183-9 ID - Huang2021 ER -