Celiku E, Draçini X, Dibra A, Maturo A
First Clinic of General Surgery UHC Mother Theresa, Tirana, Albania.
G Chir. 2011 Aug-Sep;32(8-9):353-6.
Adenocarcinomas of the esophagogastric junction should be classified into adenocarcinoma of the distal esophagus (Type I), true carcinoma of the cardia (Type II), and subcardial carcinoma (Type III) in a pathogenic and therapeutic point of view. During a 15-year period (1995 - 2009), 117 surgical laparotomies for adenocarcinoma of the cardia were performed in elective surgery in the First Clinic of General Surgery UHC "Mother Theresa" in Tirana. The classification was performed by summarizing the information obtained from oral contrast radiography, endoscopy, and intra-operative findings. There were 54 (46%) patients of Type I, 40 (34%) of Type II and 23 (20%) of Type III . Surgical procedures included "subtotal esophagectomy and proximal gastrectomy", "distal esophagectomy and proximal gastrectomy", "total gastrectomy and distal esophagectomy". All anastomoses performed in the above mentioned procedures were hand sewn. Thirty-seven patients (32%) resulted inoperable at the time of laparotomy and 80 (68%) patients were treated with curative intent, those resulting in an operability index of 68%. The overall morbidity and mortality rates of 29% and 4,3% respectively.
从病因学和治疗学角度来看，食管胃交界腺癌应分为远端食管癌（I型）、真性贲门癌（II型）和贲门下癌（III型）。在15年期间（1995 - 2009年），地拉那“特里萨修女”大学医院第一普通外科诊所对117例贲门腺癌患者进行了择期手术。通过总结口服对比造影、内镜检查和术中发现的信息进行分类。I型患者54例（46%），II型40例（34%），III型23例（20%）。手术方式包括“食管次全切除及近端胃切除术”、“远端食管切除及近端胃切除术”、“全胃切除及远端食管切除术”。上述手术中的所有吻合均采用手工缝合。37例患者（32%）在剖腹手术时无法手术，80例患者（68%）接受了根治性治疗，可手术率为68%。总体发病率和死亡率分别为29%和4.3%。
