Results of surgical therapy of XXXX of the esophagogastric junction according to a standardized surgical resection technique.

@entity1 @entity5 @entity189 @entity420 @entity34
AIM: The aim of this retrospective analysis was to exclusively present the surgical results of @entity1 with @entity420 of the esophagogastric junction thereby providing a basis for comparison with other approaches. METHODS: 56 @entity1 with @entity189 and 74 @entity1 with @entity5 were operated on and evaluated. The surgical procedure for @entity34 was identical: total gastrectomy, omentectomy and splenectomy with lymph node dissection after a combined left thoraco-abdominal incision. Both @entity5 entities were summarized into 1 group and compared with the results of surgery for @entity189 : subtotal esophagectomy and proximal stomach resection with lymph node dissection after right thoracotomy and an additional abdominal incision. RESULTS: In 93% of all @entity1 an R0 resection was possible. In @entity1 with Barrett's @entity189 (41%) were the predominant postoperative problems. The 30-day lethality (5.3%) was higher in the group of @entity1 with @entity189 compared to those with @entity34 (1.4%). Tumor infiltration and nodal involvement determined the prognosis after R0 resection. The presence of Barrett's mucosa in type-I @entity420 and the histological assessment according to Lauren's classification into @entity34 also influenced the long-term prognosis. CONCLUSION: After R0 resection it is not the @entity5 location but @entity5 infiltration, lymph node status and a differentiated histological assessment that determine the prognosis of @entity1 with @entity420 of the esophagogastric junction.
