[Clinical introduction and results of simultaneous resection and repair in esophageal cancer].
The data on 80 cases of radical resection and extirpation of the esophagus for intrathoracic tumors entailing esophagogastroplasty are discussed. Esophageal extirpation with resection of the proximal part of the stomach, sufficient lymphadenectomy, simultaneous transmedianal esophagogastroplasty and formation of cervical esophago-gastrostomy proved the most radical. The 3-year complication and mortality rates were 20.0 and 5.0%, respectively. The procedure yields the best functional results, too. It is understood that the long and tortuous process of development of a new surgical procedure inevitably involves frequent postoperative complications, which, however, can be effectively treated if measures are taken to improve surgical technique and intensive care standards. The end-results still leave much to be desired--the 3-year survival rate was 24.0, 5 years--8.0%.
Stoliarov
V I
VI
Prof. N.N. Petrov Research Institute of Oncology, Ministry of Health of the RF, St. Petersburg.
Simonov
N N
NN
Shukin
V V
VV
D004938:Esophageal Neoplasms / Q000401:mortality / Q000601:surgery*; D016629:Esophagectomy / Q000009:adverse effects / Q000379:methods*; D004944:Esophagoplasty / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000009:adverse effects / Q000379:methods*; D015391:Gastroplasty / Q000379:methods; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D008875:Middle Aged; D016019:Survival Analysis; D013997:Time Factors; D016896:Treatment Outcome
Rezul'taty odnomomentnykh rezektsiĭ i èzofagoplastiki pri rake pishchevoda na ètapakh klinicheskogo vnedreniia.