[Proximal limits of resection and the role of mediastinal lymph dissection in surgical treatment of gastroesophageal cancer].

An analysis of results of treatment of 37 patients allowed a conclusion that differential approach is possible in choice of the level of resection of the esophagus in patients with gastroesophageal cancer (GEC). Resection of the esophagus within the limits of 2-3 cm from the proximal edge of the tumor can be performed for GEC in the absence of data of spread of the tumor outsides the limits of the organ wall and pronounced lymphogenic dissemination. Extension of the resection limits to 4 cm and more is necessary in performing radical operations in patients with late stages of the disease. Ablation of the lymph nodes of the lower mediastinum is a necessary component of radical operative interventions in treatment of patients with GEC.