Surgical management of adenocarcinoma of the cardia.
North Pacific Surgical Association. Annual Meeting. Portland, OR, USA, 1997/11/14.
The incidence of adenocarcinoma of the cardia is increasing.
The surgical management remains controversial
The present study reviews our experience with surgically resected adenocarcinoma of the cardia.
A retrospective review of 153 cases of surgically resected adenocarcinoma of the cardia was performed.
Preoperative radiotherapy was used in 31 patients.
The surgical approach, morbidity, mortality, impact of preoperative radiotherapy, and survival were determined.
The type of resection performed was a transhiatal esophagogastrectomy in 78%, a transthoracic esophagogastrectomy in 21%, and a transabdominal esophagogastrectomy in 1%. The in-hospital mortality rate was 4%. The frequency of complications was not associated with the use of preoperative radiotherapy or surgical approach.
The 1 - year (61%), 2-year (38%), 3-year (23%), and 5-year (16%) survival were not affected by the use of preoperative radiotherapy or surgical approach.
Survival was significantly associated with stage and the presence of lymph node metastasis.
Adenocarcinoma of the cardia is associated with a poor long-term prognosis.
The long-term survival does not appear to be affected by the use of preoperative radiotherapy or by surgical approach.
Mots-clés Pascal : Adénocarcinome, Estomac, Cardia, Radiothérapie, Préopératoire, Traitement associé, Oesophagogastrectomie, Technique, Pronostic, Epidémiologie, Morbidité, Mortalité, Homme, Tumeur maligne, Appareil digestif pathologie, Estomac pathologie, Chirurgie
Mots-clés Pascal anglais : Adenocarcinoma, Stomach, Cardia, Radiotherapy, Preoperative, Combined treatment, Esophagogastrectomy, Technique, Prognosis, Epidemiology, Morbidity, Mortality, Human, Malignant tumor, Digestive diseases, Gastric disease, Surgery
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0301372
Code Inist : 002B25G02. Création : 27/11/1998.