[Experience in the surgical treatment of cancer of the cardial portion of the stomach].
The immediate results of radical surgery for cardiac cancer were analysed in 438 patients. During a 20-year period the mortality rate made 23.3%. The analysis has shown that the results of treatment depend: 1) on gravity of the initial patients' state, judged by their distribution according to the degree of surgical risk, that could be estimated by the cancer spread, using TNM symbols necessitating suboperative biopsy; 2) on peculiarities of the operation per se (an approach, character, extent and technic of surgical intervention, and also degree of its being radical; 3) on a rational management of patients postoperatively and gravity of subsequent complications. The most objective criteria in estimating the immediate results of radical surgery for cancer of the cardiac gastric portion are described.
D000328:Adult; D000368:Aged; D001706:Biopsy; D002299:Cardia / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D005743:Gastrectomy / Q000379:methods / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications; D013274:Stomach Neoplasms / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*
Opyt khirurgicheskogo lecheniia raka kardial'nogo otdela zheludka