The surgical treatment of carcinoma of the lower segment of the esophagus presents a problem in the sense of operability and five--years survival. The authors presented 56 patients operated by GARLOCK-SWEET method for carcinoma of the lower segment of the esophagus. The investigated clinical material was divided into 2 groups. In the group--I (A) 17 operated patients were classified without metastatic deposits in the regional lymph nodes. In group--II (B) were 39 operated cases with regional lymphatic nodes metastatic deposits, where as a splenectomy was made. In a 11 operated patients pyloroplasty was made. Leakage of the anastomosis occurred in 7 patients. Only 6 patients survived more than 5 years after the operation. A control group (C) of 13 patients with inoperabile carcinoma of the lower segment of the esophagus had been inserted the Celestin tube. In 5 patients there was operabile mortality.

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