Napalkov P N, Baskakova Z I
Vestn Khir Im I I Grek. 1975 Jun;114(6):36-43.
The immediate results of radical surgery for cardiac cancer were analysed in 438 patients. During a 20-year period the mortality rate made 23.3%. The analysis has shown that the results of treatment depend: 1) on gravity of the initial patients' state, judged by their distribution according to the degree of surgical risk, that could be estimated by the cancer spread, using TNM symbols necessitating suboperative biopsy; 2) on peculiarities of the operation per se (an approach, character, extent and technic of surgical intervention, and also degree of its being radical; 3) on a rational management of patients postoperatively and gravity of subsequent complications. The most objective criteria in estimating the immediate results of radical surgery for cancer of the cardiac gastric portion are described.
对438例贲门癌根治性手术的近期结果进行了分析。在20年期间，死亡率为23.3%。分析表明，治疗结果取决于：1）初始患者状态的严重程度，根据手术风险程度对其分布进行判断，手术风险可通过癌症扩散情况估计，使用TNM分期需要术前活检；2）手术本身的特点（手术入路、性质、范围和技术，以及根治程度）；3）术后对患者的合理管理以及后续并发症的严重程度。描述了评估贲门胃部分癌根治性手术近期结果的最客观标准。
