title: [Multivisceral operations for carcinoma of the upper stomach and cardia].
abstract: In this study are noted technical problems regarding "en bloc" multiple organ resections and the anatomic and functional reconstruction for carcinoma of the upper stomach and cardia. From 1997 to 2002, a total of 264 patients with cancers of the stomach were operated in the service. 75 patients presented cancers localized at the proximal stomach and cardia (97.33% adenocc.). The rate of resectability was 27.77% (27 pt.). Types of operations in this series were: standard esophagogastrectomy in 7 patients; total gastrectomy with regional lymphadenectomy in 9 patients; 11 patients underwent "en bloc" multiple organ resection, with the removal of the stomach, partial or total esophagectomy and, occasionally, ablation of the spleen, pancreas, left hepatectomy, resection of the diaphragm and an extensive lymphadenectomy. Surgical mortality for the complex multivisceral resections was noted in 3 patients (8.88%). The global 5 years survival in the service is poor: 15.9%.
authors.affiliation: Clinica chirurgicală nr. 2, Spitalul Clinic Judeţean de Urgenţă Tg. Mureş.
authors.forename: S
authors.initials: S
authors.lastname: Bancu
authors.forename: T
authors.initials: T
authors.lastname: Bara
authors.forename: M
authors.initials: M
authors.lastname: Eşianu
authors.forename: D
authors.initials: D
authors.lastname: Zamfir
authors.forename: D
authors.initials: D
authors.lastname: Marian
authors.forename: C
authors.initials: C
authors.lastname: Borz
authors.forename: A
authors.initials: A
authors.lastname: Butiurca
authors.forename: O
authors.initials: O
authors.lastname: Jimboreanu
authors.forename: R
authors.initials: R
authors.lastname: Neagoe
authors.forename: G
authors.initials: G
authors.lastname: Popescu
authors.forename: Ligia
authors.initials: L
authors.lastname: Bancu
authors.forename: M
authors.initials: M
authors.lastname: Turcu
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002277:Carcinoma / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D002299:Cardia / Q000473:pathology; D013505:Digestive System Surgical Procedures / Q000379:methods; D004938:Esophageal Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009367:Neoplasm Staging; D012189:Retrospective Studies; D012383:Romania / Q000453:epidemiology; D013274:Stomach Neoplasms / Q000401:mortality / Q000473:pathology / Q000601:surgery*; D016019:Survival Analysis