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№4' 2013
SURGERYInternational Medical Journal, Vol. 19., Iss. 4, 2013, P. 47−50.
SURGICAL TACTICS IN PATIENTS WITH COMPLICATIONS OF LOCAL GASTRIC CANCER
Kharkiv National Medical University
The results of surgical treatment of 418 patients with local gastric cancer complicated with bleeding, stenosis, perforation, and their combination were analyzed. The original two−stage surgical tactics with a wide use of low−invasive interventions was used on the first stage of the treatment. Radical surgery was done in 168 (40.2%) of patients, 250 (59.8%) underwent palliative and symptomatic surgery. The results of the surgery depended on the choice of adequate surgical tactics and the volume of the primary surgery. Post−operative complications occurred in 36/3% (152 patients). Post−operative and general death rate made 17.5% and 21.3% (73 and 89 patients), respectively. The expediency of application of two−stage surgical approach using minimally invasive methods of hemostasis, palliative and symptomatic surgery on the first stage followed by early delayed or planned radical surgery (stage 2) allowing reduction of the operation duration and increase of reliability, improvement of the quality of life, was substantiated.
Key words: local gastric cancer, complications, surgical tactics.