{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:33:58Z","timestamp":1740126838378,"version":"3.37.3"},"reference-count":24,"publisher":"Georg Thieme Verlag KG","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Zentralbl Chir"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Adenokarzinome des \u00f6sophagogastralen \u00dcberganges (AEG) stellen nach wie vor eine chirurgisch herausfordernde Tumorentit\u00e4t dar. Entgegen dem Trend der thorakoabdominellen Resektion bei AEG-I- und AEG-II-Tumoren hat sich in den letzten Jahren die proximale Gastrektomie durch moderne Rekonstruktionsverfahren wie die Double-Tract-Rekonstruktion einen Stellenwert in der Chirurgie von AEG-Tumoren und proximalen Magenkarzinomen zur\u00fcckerobert. Die proximale Gastrektomie mit Double-Tract-Rekonstruktion stellt so bei geeigneten AEG-II-Tumoren eine Alternative zur thorakoabdominellen \u00d6sophagusresektion mit Rekonstruktion durch Magenhochzug dar sowie bei AEG-III-Tumoren eine Alternative zur totalen Gastrektomie. Im Vergleich zur totalen Gastrektomie zeigen vergleichende Studien einen funktionellen Vorteil f\u00fcr die Rekonstruktion mittels Double Tract nach proximaler Gastrektomie. Die pr\u00e4zise onkologische Indikationsstellung hinsichtlich des Resektionsausma\u00dfes muss hingegen f\u00fcr lokal\n      fortgeschrittene Tumoren noch weiter untersucht werden, ebenso der Einfluss der Restmagengr\u00f6\u00dfe auf das funktionelle Outcome, da sich hier die asiatischen Techniken f\u00fcr Fr\u00fchkarzinome deutlich von den europ\u00e4ischen unterscheiden k\u00f6nnen. Im Folgenden soll die bestehende Evidenz der proximalen Gastrektomie mit Double-Tract-Rekonstruktion dargelegt und technische Aspekte der Rekonstruktionsmethode im Kontext von Tumoren des \u00f6sophagogastralen \u00dcberganges beleuchtet werden.<\/jats:p>","DOI":"10.1055\/a-2284-6597","type":"journal-article","created":{"date-parts":[[2024,4,2]],"date-time":"2024-04-02T23:25:47Z","timestamp":1712100347000},"page":"202-208","source":"Crossref","is-referenced-by-count":0,"title":["Adenokarzinome des \u00f6sophagogastralen \u00dcberganges: Double-Tract-Rekonstruktion \u2013 Evidenz und Technik"],"prefix":"10.1055","volume":"149","author":[{"given":"Felix","family":"Berlth","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Allgemein-, Viszeral- und Transplantationschirurgie, Uniklinik T\u00fcbingen, T\u00fcbingen, Deutschland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ulrich Klaus","family":"Fetzner","sequence":"additional","affiliation":[{"name":"Klinik 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