. Annals of surgery. General view of the subperitoneal network of thestomach, injected by Gerotas method (Cuneo). i, leftpneumogastric ; 2, praecardiac glands ; 3, right pneumo-gastric ; 4. coronary artery ; 5, coronary vein ; 6, glandof the small curvature ; 7. hepatic artery ; 8, right gas-tro-epiploic artery; 9. subpyloric gland ; 10. rightgastrn-epiploic vein ending in the middle colic LiTnphatic territories of the stomach(Cun^o). I, the coronary or the prin-cipal current; 2, right gastro-epiploiccurrent : 3, splenic current CANCER OF THE CESOPHAGUS AND CARDIA 75 stomach. The worst


. Annals of surgery. General view of the subperitoneal network of thestomach, injected by Gerotas method (Cuneo). i, leftpneumogastric ; 2, praecardiac glands ; 3, right pneumo-gastric ; 4. coronary artery ; 5, coronary vein ; 6, glandof the small curvature ; 7. hepatic artery ; 8, right gas-tro-epiploic artery; 9. subpyloric gland ; 10. rightgastrn-epiploic vein ending in the middle colic LiTnphatic territories of the stomach(Cun^o). I, the coronary or the prin-cipal current; 2, right gastro-epiploiccurrent : 3, splenic current CANCER OF THE CESOPHAGUS AND CARDIA 75 stomach. The worst of them all in this respect is the unionof the lateral wall of the stomach with the lateral wall of theoesophagus (Sauerbruch and Wendel). A valuable length ofthe gut is thus sacrificed in a location where every millimetrecounts. The same criticism to a lesser degree is true of ananastomosis of the end of the oesophagus with the lateral wallof the stomach (Tiegel ^* and Green and Maury ^*). The sac-rifice of distance by this procedure is also great and in additionresults in tlie placing of a considerable weight upon the circleof union and much difficulty in the repair of the diaphragm. In order to render an operation of resection of the cardiaof practical utility, we believe that, first, an end-to-end unionis necessary, and, second, that the stomach must be removeddown to at least the pre


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Keywords: ., bookcentury1800, bookdecade1880, booksubjectsurgery, bookyear1885