Überlegungen zur Operationstaktik beim Adenokarzinom der Cardia
- 1 January 1983
- journal article
- clinical trial
- Published by Georg Thieme Verlag KG in Deutsche Medizinische Wochenschrift (1946)
- Vol. 108 (03) , 94-97
- https://doi.org/10.1055/s-2008-1069507
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.Keywords
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