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Abstract

Laparoscopic Merendino´s Surgery as an Aternative in the Treatment of Early Adenocarcinoma of the Esophagogastric Junction

Tumours of the esophagogastric junction require extensive esophageal and/ or gastric resections with extended lymphadenectomies to achieve an R0 with curative intent. Endoscopy with mucosectomy and surgery with limited resection have been gaining ground in these types of tumours. Merendino surgery with interposition of a jejunal loop (as described by Merendino and Dillard in 1955) is an adequate alternative for the T1 stages of tumors of the gastroesophageal junction without evidence of lymph node metastasis, reducing morbidity and mortality with similar oncological results and less adverse functional effects.


Author(s):

Saleg Patricia, Cano Busnelli, Virginia, Castellaro Pablo, Beskow Axel, Fernando, Wright and Demetrio Cavadas



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