ABSTRACT
Laparoscopic findings obtained in patients with cancer of the thoracic part of the esophagus (321) and proximal part of the stomach (383) were analysed. As a result of laparoscopy, unjustified surgery was withheld in 14.9 and 19.3% of cases, respectively. Tumor resectability in the laparoscopy negative group was 92.8 and 84.5% for cancer of the lower and mid-third of the esophagus, respectively, and 76.2% for cancer of the proximal part of the stomach. Laparoscopy yielded false-negative results in 1.9% of cases and failed to be instrumental in diagnosis-in 4.5%.
Subject(s)
Esophageal Neoplasms/diagnosis , Laparoscopy , Stomach Neoplasms/diagnosis , Cardia , Esophageal Neoplasms/surgery , False Positive Reactions , Humans , Laparoscopy/statistics & numerical data , Neoplasm Metastasis , Patient Care Planning , Stomach Neoplasms/surgeryABSTRACT
The article analyses the follow-up of 155 patients among whom 63 had malignant tumors, 65 had benign tumors, while in 27 patients the tumor-like lesions were recognized as posttraumatic and post-inflammatory processes. Among 61 patients with sarcomatous lesions of the thoracic wall 21 had a resectable tumor. Operation was undertaken as a component of combined treatment in 21 patients. In a group of 19 patients 10 (16.4% of those admitted for treatment) have a survival period of 6 months to 18 years without signs of tumor growth. The other patients died in periods of 3 to 18 months. In a group of 65 patients with benign tumors 51 were treated by operation. Complications were not encountered. Among 27 patients with "false" tumors 5 underwent operation. The results of the study allow combined treatment of malignant tumors of the thoracic wall to be recommended for wider application.