[Cancer of the lower oesophagus. One-stage subtotal oesophagectomy without thoracotomy and retrosternal gastroplasty (author's transl)].
In the operation proposed the tumour is approached by the abdominal route after incision of the diaphragm. It is dissected and the overlying healthy oesophagus is stripped. Continuity of the digestive tract is re-established by tubular gastroplasty in which the stomach is brought up to the neck through a retrosternal tunnel. The operation is indicated for tumours of the lower and middle oesophagus.