[Prophylaxis of microcirculation disorders caused by operative trauma and accompanying complications of radical surgery for gastric cancer].
The stress injury of the gut organs due to ischemia constitutes the cause of complications and mortality after performance of radical operation for gastric cancer. Alcoholization of celiac nerves is proposed for an ischemic damage prophylaxis. Complications and mortality were analyzed in two groups of patients operated on, using endotracheal narcosis plus alcoholization and without it. Trustworthy lowering of the complications and mortality occurrence frequency, in 1.5-2 times accordingly, mainly owing to ischemic disorders (pancreatitis, the hole organs wall necrosis), were noted in conduction of alcoholization. The differencies observed were pronounced the most after performance of highly traumatic combined interventions.
Efetova
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D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D007422:Intestines / Q000098:blood supply*; D007431:Intraoperative Complications / Q000453:epidemiology / Q000517:prevention & control*; D007511:Ischemia / Q000209:etiology / Q000517:prevention & control*; D008833:Microcirculation; D013274:Stomach Neoplasms / Q000150:complications*