title: [Ways of reducing the main postoperative complications of gastrectomy in patients with gastric cancer].
abstract: An analysis of results of 275 gastrectomies in patients with gastric cancer has shown that main causes of death after the operation were pancreanecrosis (2.8%) and incompetence of sutures of the esophago-intestinal anastomosis (1.7%). Sparing operations, measures reducing duodenostasis, administration of protease inhibitors during operation as well as early reestablishment of passage of the intestinal content resulted in less amount of postoperative pancreatitis. The method of performing esophago-intestinal anastomosis after Hilarowicz with block of the upper loop by a circular ligature allow the amount of incompetent sutures of the anastomosis to be minimized and give satisfactory functional results.
authors.forename: V A
authors.initials: VA
authors.lastname: Chernyi
authors.forename: I B
authors.initials: IB
authors.lastname: Shchepotin
mesh_terms: D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D004947:Esophagus / Q000601:surgery; D005743:Gastrectomy / Q000009:adverse effects*; D006801:Humans; D007422:Intestines / Q000601:surgery; D008875:Middle Aged; D009336:Necrosis / Q000209:etiology / Q000517:prevention & control; D010179:Pancreas / Q000473:pathology; D011480:Protease Inhibitors / Q000627:therapeutic use; D013274:Stomach Neoplasms / Q000601:surgery*; D013536:Suture Techniques / Q000592:standards
chemical_list: D011480:Protease Inhibitors
vernacular_title: Puti snizheniia osnovnykh posleoperatsionnykh oslozhneniĭ gastréktomii u bol'nykh rakom zheludka.