Resection of midesophageal carcinoma with esophagogastric anastomosis

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Abstract
This report is based on 432 cases of cancer of the oesophagus, 154 of which involved the middle third. There were 82 men and 72 women, ranging in age from 42 to 81, average 62. Operative mortality was 15.7%. The philosophic objectives were to restore promptly the ability to swallow, to obtain a worthwhile survival period, and to avoid the miseries associated with oesophageal carcinoma.Preoperative preparation, operative techniques including errors and safeguards, postoperative management, and overall results are specified. The stomach is preferred to jejunum or colon as a means of restoring continuity of the alimentary tract following resection of oesophageal carcinoma.