[Analysis of the surgical therapy of cardia cancer. Surgical approach, upper resection or gastrectomy, early and late results].

The author has performed radical surgery in 45 patients with carcinoma of the oesophageal gastric junction. The abdominal, abdomino-thoracic and thoracic approach are compared. With regard to later survival, the least favorable results were obtained with the abdominal incision, an approach used in 15 patients, none of them survived 5 years. The abdomino-thoracic incision (25 patients) allowed a good view and enabled radical resection. The 5-year-survival rate in these 25 patients amounted to 16%. The left-side thoracic approach had analogous results.