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The Annals of Thoracic Surgery, Vol 35, 542-547, Copyright © 1983 by The Society of Thoracic Surgeons

ARTICLES

Surgical treatment of carcinoma of the esophagus and cardiac portion of the stomach in 850 patients

LT Xu, ZF Sun, ZJ Li and LH Wu

From 1961 to 1978, 850 patients with carcinoma of the esophagus or cardiac portion of the stomach were operated on in the Capital Hospital of the Chinese Academy of Medical Sciences. Eighty-three percent of the patients were men, and about 45% of the patients ranged from 51 through 60 years old. Just over half of the patients were seen when the lesion was at a late stage of development. The thirty-day postoperative mortality among 664 patients with a restricted lesion was 10%. Leakage of the esophagogastric anastomosis was the chief cause of morbidity, and about half of the patients with this condition died. The 5-year survival among these 664 patients with a restricted lesion was 22%. Retrospective review of the literature confirmed the possibility of further increasing resectability, further decreasing mortality, and providing greater long-term survival if early complete resection of the tumor can be carried out.

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