A radiological correlate for the feasibility of left thoracoabdominal esophagogastrectomy.

A measured distance of 10 cm between the upper shoulder of a distal esophageal tumor as seen on barium swallow and midbody of T7 suggests feasibility of esophagogastrectomy with adequate margins via a left thoracoabdominal approach, obviating a separate right thoracic incision. The use of the EEA Stapler is recommended to facilitate such a high anastomosis.