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  • Rak gastroenzofagealnega prehoda - prikaz naših izkušenj = Cancer of oesophagogastric junction - our experiences
    Bitenc, Marko, 1961- ...
    In the article our experience with treatment of patients with cancer of oesophagogastric junction (OGJ) is described. Between 1999 and 2002 we operated 69 patients. There were 13 females and 56 ... males. Their age was from 43 to 84 years, 64,7 years on the average. We retrospectively sorted the patients according to Siewert classification. There were 9 patients with type 1 tumor. It was not possible to distinct the patients with type II and type III tumor so 60 of these patients were sorted into one group. In patients withtype I OGJ cancer we performed subtotal oesophagectomy with mediastinal lymphadenectomy and intrathoracic or cervical oesophagogastrostomy. In patients with type II and type III cancer OGJ we performed total gastrectomy with resection of distal oesophagus and D2 lymphadenectomy. On the average removed 26,4 lymph nodes per operation of which on the average 6,3 were positive after pathological examination. Intrahospital mortality rate was 4,3 %, perioperative morbidity rate 20 %. We strongly suggest that all patients with cancer of 0GJ should be classified according to Siewert classification preoperatively: The planning of the operation should be done individualy for every patient, sometimes even only at laparotomy. We advise subtotal oesophagectomy for type I OGJ cancers and gastroctomy with resection of distaloesophagus for patients with type II and III OGJ cancer.
    Vir: Gastroenterolog : revija Slovenskega združenja za gastroenterologijo in hepatologijo = journal of Slovenian Association for Gastroenterology and Hepatology. - ISSN 1408-2756 (Letn. 9, št. 20, 2005, str. 50-52)
    Vrsta gradiva - članek, sestavni del
    Leto - 2005
    Jezik - slovenski
    COBISS.SI-ID - 20496601

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