title: [Upward extension of esophago-gastric resection in carcinoma of the cardia: our current trend in the light of experience in 52 cases].
abstract: A first lot of patients (18 cases) operated for carcinoma of the cardias, with oesophageal resection performed at a distance of 4-5 cm. from the neoplasia, evidenced high mortality (7 cases) within the first twelve months. In a second lot of patients (17 cases), a study of the oesophageal section was made and showed invasion in 7 cases; this led to the level of the oesophageal resection being extended to a distance of 8-10 cm. from the tumour; in 17 cases thus operated (third lot) only one case of invaded oesophageal section was found. Systematic extension of the oeophageal resection, in cases of cancers of the cardias, to the level of the inferior pulmonary vein is therefore proposed in order to obtain a radical surgical result.
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D002277:Carcinoma / Q000601:surgery; D002299:Cardia; D004947:Esophagus / Q000601:surgery; D005743:Gastrectomy; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000601:surgery; D013274:Stomach Neoplasms / Q000601:surgery*
vernacular_title: Estensione verso l'alto della resezione esofago-gastrica nel carcinoma del cardias: nostro attuale orientamento alla luce della esperienza maturata su 52 casi.