Author/Editor		Ivanecz, Arpad; Potrč, Stojan; Horvat, Matjaž; Kavalar, Rajko
Title		Abdominalna transhiatusna resekcija želodca in distalnega dela požiralnika pri raku v proksimalni tretjini želodca
Translated title		Abdominal transhiatal gastrectomy and distal esophagectomy by proximal third gastric carcinoma
Type		članek
Source		In: Omejc M, Repše S, editors. Zbornik simpozija Kirurgija želodca - standardi in novosti; 2005 okt 13-15; Ljubljana. Ljubljana: Klinični oddelek za abdominalno kirurgijo, Klinični center,
Publication year		2005
Volume		str. 187-96
Language		slo
Abstract		Background. In contrast to the decreasing frequency of middle and distal third gastric adenocarcinoma and squamous cell carcinoma of the esophagus there, is an increasing incidence of aderiocarcinomas of the gastroesophageal junction (AGEJ) in the last two decades in developed Western countries. The aim of, the study: to represent our results and to compare with other centers. Methods. In order to offer appropriate therapy and to compare the results there is a need for generally accepted classification. Based on Siewert classification we prospectivelly analyzed our results of surgical therapy in patients operated by method of abdominal transhiatal gastrectomy and distal esophagectomy in period betwen 1.1.2001 and 31.12.2004. Results. We find increasing portion of resected patients with AGEJ. In period between 1.1.2001 and 31.12.2004 we operated 22 patients. By classificaton of Siewert there were adenocarcinomas of the gastroesophageal, junction type III. We found early cancer only by two patients (9%), by other 20 patients (91%) the cancer was advanced. Postoperative rnorbidity, and mortality was 30% and 4,5% respectively. The analysis of survival is not completed yet. Conclusions. The accurate staging and use of the Siewert classification of AGEJ is a prerequisite of appropriate therapeutic management. The transhiatal approach to the resection of AGEJ type III offers equally radicality from oncologic point of view as thoracoabdominal technique.
Descriptors		STOMACH NEOPLASMS GASTRECTOMY ADENOCARCINOMA ESOPHAGECTOMY