[Prophylaxis of postgastrectomy complications in patients with gastric cancer].
There are presented the results of surgical treatment of 447 patients. suffering gastric cancer, in whom gastrectomy was performed. Esophago-initestinal anastomosis was performed according to method of G. V. Bondahr. Interintestinal anastomosis (IIA) was formed using traditional Braun method and also was applied the longitudinal-transversal method, elaborated in the clinic. Usage of the method proposed did not worsen the immediate and late results, but have promoted significant improvement of the gastrectomy functional results. The method application secures the trustworthy lowering of the postgastrectomy complications rate while performing gastrectomy (dumping syndrome, reflux-esophagitis, the adduced loop syndrome) comparing with such, using Braun IIA--accordingly 30.5 and 52.8% (P = 0.016); fair, good and excellent the patients quality of life--accordingly in 67.8 and 47.2% (P = 0.024). The elaborated procedure of the IIA formation constitutes the method of choice while performing gastrectomy.
Bondar'
G V
GV
Dumanskiĭ
Iu V
IuV
Popovich
A Iu
AIu
Psaras
G G
GG
Zaika
A N
AN
Efimochkin
O E
OE
Bogdanov
B A
BA
D000714:Anastomosis, Surgical / Q000379:methods*; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D011178:Postgastrectomy Syndromes / Q000453:epidemiology / Q000517:prevention & control*; D011788:Quality of Life; D013274:Stomach Neoplasms / Q000453:epidemiology / Q000601:surgery*