Онкология SURGERY TREATMENT OF ADENOCARCINOMA CARDIO-ESOPHAGEAL AREA
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ONCOLOGY BULLETIN OF THE VOLGA REGION

Scientific-practical Journal for general practitioners and researchers

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SURGERY TREATMENT OF ADENOCARCINOMA CARDIO-ESOPHAGEAL AREA

E.I. Sigаl, M.V. Burmistrov, E.R. Tikaev, A.G. Latypov

Tatarstan Cancer Сenter, Kazan

 

 

Tickaev E.R. — PhD, oncologist

29 Sibirskiy Trakt, Kazan, Russian Federation, 420029, tel. +7-919-635-23-29, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

 

 

Abstract. The experience of surgery in 369 patients with cardio-esophageal cancer treated in the Kazan Republic Clinical Oncology Сenter is presented. The patients are divided into 3 groups respective of the type of adenocarcinoma (classification by J.R. Siewert). Thus, the first group consists of 45 (12,1%) patients, the second — 172 (46,6%) and the third — 152 (41,3%) patients. Each group is divided into subgroups according to the performed operation: transhiatal esophagoplasty with esophagogastroanastomosis on the neck, transthoracal esophagoplasty (operations by Lewis and Gerlock) with intrapleural esophadogastroanastomosis and gastrectomies with high resection of esophagus.  High productivity of the differentiated approach to surgical treatment of cardio-esophageal cancer depending on the type of adenocarcinoma is shown. Such approach allows the surgical treatment to be more radical, to reduce quantity of the early and remote complications and to raise the survival. So, it is revealed that performance of transhiatal and transthoracal esophagoplasty is possible in cases of type I adenocarcinoma. Gastrectomies in cases of type II adenocarcimoma are of poor prognosis.

Key words: cardio-esophageal cancer, adenocarcinoma, esophagectomy, Barret’s cancer.





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