COMBINED OPERATIONS IN PATIENTS WITH RESECTABLE GASTRIC CANCER
https://doi.org/10.29235/1814-6023-2018-15-2-207-214
Abstract
The analysis of the long-term results of treatment of 1065 radically operated gastric cancer patients was carried out. 103 of them underwent combined operations. A statistically significant effect of the nature of the operation performed on the number of postoperative complications (4.9 % after combined operations, 1.1–3.4 % after standard operations) and the incidence of disease progression (39.8 % after combined operations, 17.8–30.1 % after standard operations). Prevalence in the structure of the progression of peritoneal dissemination was noted, the 4-year cumulative incidence of which after combined operations was 41.1 ± 0.3 % and after standard operations – from 13.26 ± 0.02 to 27.27 ± 0.07 %. The latter testifies to a relative radical surgical treatment when a tumor leaves the gastric wall, which requires the use of adjuvant treatment aimed at preventing the progression of gastric cancer, primarily with disseminated peritoneal lesions.
About the Authors
M. Yu. Reutovich
N. N. Alexandrov National Cancer Centre.
Russian Federation
Russian Federation
Mikhail Yu. Reutovich – Ph. D. (Med.), Assistant Professor.
223040, Lesnoy, Minsk region.
O. G. Sukonko
N. N. Alexandrov National Cancer Centre.
Russian Federation
Russian Federation
Oleg G. Sukonko – D. Sc. (Med.), Professor, Director.
223040, Lesnoy, Minsk region.
A. I. Shmak
N. N. Alexandrov National Cancer Centre.
Russian Federation
Russian Federation
Andrei I. Shmak – D. Sc. (Med.), Head of the Laboratory.
223040, Lesnoy, Minsk region.
V. V. Krasko
United Institute of Informatics Problems of the National Academy of Sciences of Belarus.
Russian Federation
Russian Federation
Volha V. Krasko – Ph. D. (Tech.), Assistant Professor, Leading researcher.
6, Surganov Str., 220012, Minsk.
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Review
For citations:
Reutovich M.Yu., Sukonko O.G., Shmak A.I., Krasko V.V. COMBINED OPERATIONS IN PATIENTS WITH RESECTABLE GASTRIC CANCER. Proceedings of the National Academy of Sciences of Belarus, Medical series. 2018;15(2):207-214. (In Russ.) https://doi.org/10.29235/1814-6023-2018-15-2-207-214
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