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Surgical treatment effects in cancer of the cardia and esophagogastric junction

  • Published:
The Chinese-German Journal of Clinical Oncology

Abstract

Objective

To evaluate the treatment effects of total gastrectomy (TG) and proximal gastrectomy (PG) for cancer of the cardia and esophagogastric junction.

Methods

forty-five patients with cancer of the cardia and esophagogastric junction underwent surgical resection. Of them, 29 were treated using proximal gastrectomy and 16 total gastrectomy. The 3-year and 5-year survival rate and the postoperative complication rate and mortality rate were followed up and compared between the two groups

Results

The 3-year and 5-year survival rates of group PG were 44.8% and 20.7%, of group TG were 37.5% and 18.8%, respectively, and the differences were not statistically significant (χ2 = 3.84, P > 0.05; χ2 = 3.89, P > 0.05). The postoperative complication and mortality rate of group PG were 13.7% and 6.8%, of group TG was all 6%, respectively.

Conclusion

Proximal and total gastrectomy treatment effects can not significantly influence the prognosis of patients in progressive stage of cancer of cardia and esophagogastric junction.

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References

  1. Harrison LE, Karpeh MS, Brennan MF. Total gastrectomy is not necessary for proximal gastric cancer. Surgery, 1998, 123: 127–130.

    Article  CAS  PubMed  Google Scholar 

  2. Papachristou DN, Fortner JG. Adenocarcinoma of the gastric cardia. The choice of gastrectomy. Ann Surg, 1980, 192: 58–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Wang SB. Thirty-seven-year clinical experience on gastric cancer: a report of 2326 cases. Chin J Clin Oncol (Chinese), 1999, 26: 325–329.

    Google Scholar 

  4. Huang CM, Zhang XF, Lu HS, et al. Long-term therapeutic effects of total gastrectomy in cancer of the cardia and stomach fundus. Chin J Surg (Chinese), 2003, 41: 729–732.

    Google Scholar 

  5. Lu YY, Chen JH, Meng L, et al. Multi-visceral resection in the treatment of local advanced cardiac carcinoma: an analysis of 37 cases. Chin J Prac Surg (Chinese), 2005, 25: 479–481.

    Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Baoshan Branch of Shanghai First People’s Hospital, Shanghai, 200940, China

    Yumin Zhou, Jiong Pan, Yuwei Sheng, Hao Liu & Ziping Fan

Authors
  1. Yumin Zhou
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  2. Jiong Pan
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  3. Yuwei Sheng
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  4. Hao Liu
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  5. Ziping Fan
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Corresponding author

Correspondence to Yumin Zhou.

Additional information

Supported by Shanghai Baoshan Science and Technology developing funds (No: 03-A-34).

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Zhou, Y., Pan, J., Sheng, Y. et al. Surgical treatment effects in cancer of the cardia and esophagogastric junction. Chinese German J Clin Oncol 6, P220–P221 (2007). https://doi.org/10.1007/s10330-006-0040-x

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  • DOI: https://doi.org/10.1007/s10330-006-0040-x

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