title: [Operative methods in adenocarcinoma of the cardia].
abstract: Adenocarcinoma of the oesophagogastric transition is only incompletely resectable in 40% of cases, if resection with intrathoracic anastomosis is desired. Death-rate of thoraco-abdominal or transthoracic resection is over 40% (in the authors' own series 47%). Survival time of patients is short, some develop a recurrence at the anastomotic site. More radical and carrying a lower postoperative mortality is resection of the tumour with subtotal oesophagectomy without opening the thorax. Anastomosis with the residual stomach is made at the cervical portion of the oesophagus.
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000601:surgery*; D000368:Aged; D002299:Cardia / Q000473:pathology / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013274:Stomach Neoplasms / Q000473:pathology / Q000601:surgery*
vernacular_title: Uberlegungen zur Operationstaktik beim Adenokarzinom der Cardia.