International Medical Journal, Vol. 19., Iss. 4, 2013, P. 57−60.
THE VARIANTS OF SURGICAL TREATMENT FOR ESOPHAGEAL CANCER AND GASTRIC CANCER INVOLVING THE ESOPHAGUS
Donetsk Regional Antitumor Center;Donetsk National Medical University named after M. Gorky
Immediate and functional results of surgical treatment of 363 patients with esophageal cancer and gastric cancer involving the esophagus treated at Donetsk Regional Antitumor Center from 2005 to 2012 are presented. Lewis', Garlock', abdominomediastenal, abdominothoracocervical approaches were used most frequently. They allowed adequate lymphadenectomy and tumor removal within the limits of the healthy tissue. In 77 patients (21.2%) the operation was of a combination character (splenectomy − 42 cases, pancreatic tail resection − 24, subtotal pancreatectomy − 6, resection of the diaphragm and its pedicles −16, liver resection − 8, large intestine resection − 6, lung resection − 5. The variants of developed and used in the clinic esophagoentero− and esophagogastrostomy are shown. Reliability of the techniques (anastomosis failure − 0%), and their functionality (reflux esophagitis − 8%, scar stenosis − 6%) was shown.
Key words: esophageal cancer, gastric cancer involving the esophagus, surgical treatment.