Esophageal Transection for Esophageal Varices : Comparison between Transthoracic Approach and Transabdominal Approach

Twenty one cases of esophageal varices were treated surgically from January 1976 to June 1979 at our surgical department. Twelve cases underwent transthoracic esophageal transection and 9 cases transabdominal esophageal transection. The authors emphasize usefullness and superiority of transthoracic approach, especially for emergent operation, because of its readiness in procedure and shortness in operation time. In addition, postoperative accumulation of ascites was less troublesome in transthoracic operation. On the other band, it should be considered that varices of the gastric portion directly distal to the transection could remain and could be a source of postoperative rebleeding in this approach.