[Experience in the surgical treatment of patients with cancer of the proximal stomach].

Abstract

The results of surgical treatment of 116 patients with cancer of the proximal part of the stomach are analysed; in 63 of the patients the tumor had spread to the esophagus. Combined gastrectomy was performed in 87 patients, combined proximal resection of the stomach--in 2 patients. In 73 patients the operation was carried out through a transperitoneal approach. The authors describe an original method of compression esophago-intestinal anastomosis established through a transperitoneal approach with a suturing apparatus of their design. The operation was performed on 14 patients. Comparative analysis of the results of surgical treatment with the use of different methods for creating the anastomosis allows the suggested method to be recommended when a transpleural approach is contraindicated.