Abstract:
BACKGROUND:For locally advanced Siewert type II and III tumors we have performed total gastrectomy including resection of the distal 2/3 of the esophagus, through separate abdominal and right chest incisions (THX-ABD). The procedure involves wide lymphadenectomy in the abdomen/chest and a Roux-en-Y jejunostomy to the level of the azygos vein or above. The aim of the study was to investigate short- and long-term results for this rarely used procedure. METHODS:Retrospective study of 83 radio-chemotherapy naïve patients with adenocarcinoma at the gastro-esophageal junction (Siewert type II n = 65 and type III n = 18) operated upon 1986-2011. RESULTS:2/83 (2.4%) patients died in hospital. 70/83 (84%) patients had R0-resections. 82/83 (99%) patients had free longitudinal resection margins. Overall 5-year survival was 22/83 (27%). CONCLUSION:THX-ABD can be performed with high rates of R0 resections and with low in-hospital mortality. Long-term survival rate was not better compared with less extensive surgical procedures.
journal_name
Am J Surgjournal_title
American journal of surgeryauthors
Jeremiasen M,Walther B,Djerf P,Staël von Holstein C,Zilling T,Hermansson M,Falkenback D,Johansson Jdoi
10.1016/j.amjsurg.2018.11.049subject
Has Abstractpub_date
2019-08-01 00:00:00pages
329-334issue
2eissn
0002-9610issn
1879-1883pii
S0002-9610(18)30878-Xjournal_volume
218pub_type
杂志文章abstract:BACKGROUND:An ideal treatment method for the widely prevalent pilonidal sinus disease is not yet available. The most commonly practiced technique is simple closure following resection of the effected tissue. However, high recurrence rates in some series have led to the search for other methods. One of these methods is ...
journal_title:American journal of surgery
pub_type: 杂志文章,随机对照试验
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abstract::During a 2 year period, 83 patients with gastric motility problems were evaluated using radionuclide imaging. The patients presented with epigastric distress, postprandial fullness, pain, nausea, vomiting, and diarrhea; signs and symptoms suggestive of either gastroparesis or gastric outlet obstruction. Upper gastroin...
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pub_type: 临床试验,杂志文章
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:American journal of surgery
pub_type: 杂志文章
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更新日期:2020-04-01 00:00:00
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更新日期:1982-08-01 00:00:00