Demin E V
Vopr Onkol. 1979;25(4):58-61.
The author presents an analysis of the data on 94 patients with cancer of the gastric cardiac portion with and without the involvement of the esophagus, in whom radical operations (proximal gastric resection and gastrectomy) were followed by various complications. The main complications and causes of patients' death were pleuropulmonary complications and peritonitis. Peritonitis was more frequently due to the anastomosis suture incompetency. Peritonitis resulted in the postoperative mortality totally in 50% of patients. Suture incompetency of entero-esophageal anastomoses was as frequent as that of gastro-esophageal ones.
作者对94例贲门癌患者的数据进行了分析,这些患者有无食管受累,均接受了根治性手术(近端胃切除术和胃切除术),术后出现了各种并发症。主要并发症及患者死亡原因是胸膜肺部并发症和腹膜炎。腹膜炎更常见于吻合口缝线功能不全。腹膜炎导致50%的患者术后死亡。食管肠吻合口缝线功能不全与胃食管吻合口的情况一样常见。