COMBINED OPERATIONS IN PATIENTS WITH RESECTABLE GASTRIC CANCER

M. Yu. Reutovich; O. G. Sukonko; A. I. Shmak; V. V. Krasko

doi:10.29235/1814-6023-2018-15-2-207-214

COMBINED OPERATIONS IN PATIENTS WITH RESECTABLE GASTRIC CANCER

M. Yu. Reutovich, O. G. Sukonko, A. I. Shmak, V. V. Krasko

https://doi.org/10.29235/1814-6023-2018-15-2-207-214

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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.

Keywords

gastric cancer, combined operations, peritoneal dissemination

References

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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

This work is licensed under a Creative Commons Attribution 4.0 License.

ISSN 1814-6023 (Print)
ISSN 2524-2350 (Online)

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Proceedings of the National Academy of Sciences of Belarus, Medical series

COMBINED OPERATIONS IN PATIENTS WITH RESECTABLE GASTRIC CANCER

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