Napalkov P N, Miroshnikov B I, Baskakova Z I
Vopr Onkol. 1979;25(8):50-6.
The authors present an analysis of the materials obtained in the clinic during a 21-year period. Among 438 patients subjected to radical surgery for cancer of the gastric cardia in 319 cases extensive, combined and extensive-combined surgical procedures were accomplished, their characteristics being described. The regular feature of cancer of this localization is its lymphogenic spread, and this fact together with esophageal involvement allows a consideration that for cancer of the cardia, in any stage but 1, all resections, as a rule, should be extensive, combined or both. The success of the immediate results of the operation depends on adequacy of an approach, kind of operation and extent of resection combinations in relation to the characteristic of cancer spread according to TNM system and the degree of surgical risk for each individual case. Estimation of the immediate and late results should take into account the motivation for performing extensive, combined and extensive-combined procedures. In cancer of the gastric cardia the analysed surgical procedures are to be referred to a group of conventionally radical interventions.
作者对21年间在临床中获取的材料进行了分析。在438例接受贲门癌根治性手术的患者中，319例完成了广泛、联合及广泛联合手术操作，并对其特点进行了描述。这种部位癌症的常规特征是淋巴转移，这一事实连同食管受累使得人们认为，对于除1期外任何分期的贲门癌，通常所有切除术都应是广泛的、联合的或两者兼具。手术近期结果的成功取决于手术入路的恰当性、手术方式以及与根据TNM系统的癌症扩散特征和每个病例的手术风险程度相关的切除组合范围。对近期和远期结果的评估应考虑进行广泛、联合及广泛联合手术的动机。在贲门癌中，所分析的手术操作属于一组传统上的根治性干预措施。
