Outline of the Procedure

Thoracoabdominal esophageal transection: The Sugiura procedure is a transthoraco abdominal esophageal transection, which consists of paraesophageal devascularization, esophageal transection and reanastomosis, splenectomy, and pyloroplasty. These thoracic and abdominal operations are performed in one or two stages depending on the surgical risk of the patients. The most important and unique feature of this procedure is an extensive devascularization from the level of the left pulmonary vein to the upper half of the stomach 6-7cm along the lesser curvature below the cardia.

Splenectomy Cardia

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