[The surgical and combined treatments of locally disseminated cardioesophageal cancer].
The article deals with the experience in the treatment of more than 1,000 patients with cardioesophageal carcinoma in 1965-1989. The authors note increase of surgical activity and widening of indications for operative treatment at the cost of patients of the old age groups and those with locally-extending forms of the neoplastic process. In distinguishing the term cardioesophageal carcinoma the authors insist on the community of the surgical tactics and operative methods in carcinoma of the cardia extending to the esophagus and in esophageal carcinoma spreading to the stomach. Improvement of the results of tre treatment the authors attribute to the perfection of the methods of lymphodissection and formation of esophageal anastomoses. The authors claim that the development of effective methods of combined treatment underlies the prospects of improving the late-term results. Experience in preoperative hypoxyradiotherapy, adjuvant postoperative chemotherapy, and preoperative regional intraarterial polychemotherapy is analysed.
Davydov
M I
MI
Mazurin
V S
VS
Kuz'michev
V A
VA
Kiladze
M A
MA
D000230:Adenocarcinoma / Q000401:mortality / Q000601:surgery*; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D002294:Carcinoma, Squamous Cell / Q000401:mortality / Q000601:surgery*; D002299:Cardia; D017024:Chemotherapy, Adjuvant; D003131:Combined Modality Therapy; D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D016629:Esophagectomy / Q000401:mortality; D005743:Gastrectomy / Q000401:mortality; D006801:Humans; D008197:Lymph Node Excision / Q000401:mortality; D011183:Postoperative Complications / Q000453:epidemiology / Q000401:mortality; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery*
Khirurgicheskoe i kombinirovannoe lechenie mestnorasprostranennogo kardioézofageal'nogo raka.