title: Strategic aspects of stomach cancer surgery.
abstract: The aim of the research is to study both immediate and long-term results of treatment in patients with gastric cancer after extended and expanded-combined gastrectomy; assessment of quality of life of patients, depending on the methods of reconstruction. 90 extensive and extensively-combined gastrectomies have been performed. 23 patients have been given operations with overlaying reservoirs at the reconstructive stage. The post-operational complications were observed among 18 (20%) patients in the main group, mortality was constituted 5 (5,6%). In the control group the above mentioned rates was constituted 14 (17,1%) and 3 (3,37%) correspondingly. The difference between the obtained data is statistically non-authentic (p>0,05). Reflux-oesophagitis was detected among 17 (25,37%) patients after standard reconstructions and 2 (7,69%) - after overlaying the reservoirs (p<0,01). In the main group an annual disease free period constituted 94,11%, 3-year - 58,82%, in the control group - 73,2% and 32,9%, respectively. 3- and 5-year survival rate in the main group constituted 70,59% and 37,65%, in the control group - 47,6% and 13,4% correspondingly (p<0,01). Extensive and extensively-combined gastrectomies improve distant results of the treatment among the patients with stomach cancer and aren't followed by increase in rate of post-operational complications and mortality. Overlaying the reservoirs decrease the rate and intensity of reflux pathology.
authors.affiliation: National Center of Oncology, Baku, Azerbaijan Republic.
authors.forename: A R
authors.initials: AR
authors.lastname: Aliev
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D005743:Gastrectomy / Q000379:methods; D005764:Gastroesophageal Reflux / Q000209:etiology / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D013274:Stomach Neoplasms / Q000401:mortality / Q000601:surgery*; D016896:Treatment Outcome