[Current approaches to the surgical treatment of cancer of the cardioesophageal junction].

Results of surgical treatment of 264 patients with carcinoma of the cardio-esophageal region are analysed. Operability was 89.0 +/- 1.9%, resectability was 64.3 +/- 3.1% in the group of patients who underwent operation and 57.2 +/- 3.1% in the group of patients admitted to the clinic. The total number of complications in the group of patients subjected to radical (151) operations came to 41.7 +/- 4.0% and the number of patients with complications 21.2 +/- 3.3%. Incompetence of sutures of the esophageal anastomosis was encountered in 9.3 +/- 2.4% of cases, total postoperative mortality was 5.1 +/- 1.4%, mortality in the group of patients who underwent radical operation was 7.9 +/- 2.2%. Operative interventions with extended lymphadenectomy were performed in 106 cases, histologically verified metastases in the lymph nodes were found in 79.2 +/- 3.9% of cases. Five-year survival was recorded in 27.8% of cases, patients treated by extended lymphadenectomy live twice longer than those not subjected to lymphadenectomy.