ABSTRACT
Efficacy of a new method of intraoperative regional sympathetic blockade of splanchnic nerves was estimated, basing on the results of surgical treatment of 3134 patients, suffering gastric cancer. While comparing the immediate results of surgical interventions there was established, that the risk of postoperative pancreatitis occurrence (lethality) is dependent on the kind of operation performed and its traumaticity. The risk of postoperative pancreonecrosis occurrence (lethality) lowering after standard surgical and combined intervention, after gastric surgery with pancreatic resection was promoted by application of a spiritus-novocaine blockade with the objective to suppress sympathetic reflexes as an element of anesthesia intraoperatively and in early postoperative period.
Subject(s)
Pancreatic Neoplasms/surgery , Pancreatitis, Acute Necrotizing/prevention & control , Postoperative Complications/prevention & control , Stomach Neoplasms/surgery , Aged , Anesthesia/methods , Anesthetics, Local , Case-Control Studies , Ethanol , Female , Gastrectomy , Humans , Male , Middle Aged , Pancreatectomy , Pancreatic Neoplasms/pathology , Procaine , Splanchnic Nerves/drug effects , Stomach Neoplasms/pathologyABSTRACT
The stress injury of the gut organs due to ischemia constitutes the cause of complications and mortality after performance of radical operation for gastric cancer. Alcoholization of celiac nerves is proposed for an ischemic damage prophylaxis. Complications and mortality were analyzed in two groups of patients operated on, using endotracheal narcosis plus alcoholization and without it. Trustworthy lowering of the complications and mortality occurrence frequency, in 1.5-2 times accordingly, mainly owing to ischemic disorders (pancreatitis, the hole organs wall necrosis), were noted in conduction of alcoholization. The differencies observed were pronounced the most after performance of highly traumatic combined interventions.
