[Combined gastrectomy with extensive lymph node excision in the surgical treatment of cancer of the stomach].
The authors discuss experience in combined gastrectomy in 206 patients with gastric carcinoma. They encountered 72 various postoperative complications which were not fatal. Fourteen patients died, which made up a total postoperative mortality of 6.8%. The most frequent and threatening complication was incompetence of the esophago-intestinal++ anastomosis, which occurred in 17 cases (8.3%) and was the cause of death of 6 patients (42.9%). The incidence of purulent and pleuropulmonary complications was 19.9 and 3.4%, respectively. Extensive lymphadenectomy was performed in combined gastrectomy in 40 cases, which accounted for 42.6% of all combined interventions. The incidence of complication was lowest in this group of patients (15%), and there were only 2 fatal outcomes (5%). The authors believe that total gastrectomy with omentectomy, splenectomy, resection of the lower esophagus, and extensive lymphadenectomy is the method of choice in surgical treatment of gastric carcinoma.
Chernousov
A F
AF
Andrianov
V A
VA
Kiladze
M A
MA
Zaĭkina
T N
TN
D000328:Adult; D000368:Aged; D004947:Esophagus / Q000601:surgery; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008197:Lymph Node Excision / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009852:Omentum / Q000601:surgery; D011178:Postgastrectomy Syndromes / Q000517:prevention & control*; D013156:Splenectomy / Q000379:methods; D013274:Stomach Neoplasms / Q000601:surgery*
Kombinirovannaia gastréktomiia s rasshirennoĭ limfadenéktomieĭ v khirurgicheskom lechenii raka zheludka.