Surgical management of and long‐term survival after adenocarcinoma of the cardia
作者： C. Mariette , B. Castel , H. Toursel , S. Fabre , J. M. Balon
DOI: 10.1046/J.1365-2168.2002.02185.X
关键词: Gastrectomy 、 Esophagectomy 、 Medicine 、 Esophagus 、 Prospective cohort study 、 Complication 、 Adenocarcinoma 、 Retrospective cohort study 、 Survival analysis 、 Surgery 、 General surgery
摘要: Background: The choice of surgical strategy for patients with adenocarcinoma the oesophagogastric junction is controversial. This study was performed to analyse results a 20-year experience these lesions. Methods: From January 1981 2001, 126 cardia underwent resection in authors' institution. The treatment oesophagectomy type I tumours, and extended gastrectomy II III lesions. Morbidity, mortality survival were determined retrospectively. Results: Fifty-six (44·4 per cent) had 44 (34·9 26 (20·6 III. Primary 113 (89·7 cent). Oesophagectomy proximal stomach carried out 65 (51·6 total transhiatal distal oesophagus 61 (48·4 In-hospital morbidity rates 4·8 34·1 cent respectively. overall 3- 5-year 40·9 25·1 respectively, not affected by approach. Survival significantly associated R0 resection, pathological node-positive category, postoperative complications tumour differentiation. Conclusion: Postoperative mortality, long-term did appear be Further prospective studies are needed confirm equivalence between transthoracic transabdominal approaches. © 2002 British Journal Surgery Society Ltd
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