[Prophylaxis of postgastrectomy complications in patients with gastric cancer].

There are presented the results of surgical treatment of 447 patients. suffering gastric cancer, in whom gastrectomy was performed. Esophago-initestinal anastomosis was performed according to method of G. V. Bondahr. Interintestinal anastomosis (IIA) was formed using traditional Braun method and also was applied the longitudinal-transversal method, elaborated in the clinic. Usage of the method proposed did not worsen the immediate and late results, but have promoted significant improvement of the gastrectomy functional results. The method application secures the trustworthy lowering of the postgastrectomy complications rate while performing gastrectomy (dumping syndrome, reflux-esophagitis, the adduced loop syndrome) comparing with such, using Braun IIA--accordingly 30.5 and 52.8% (P = 0.016); fair, good and excellent the patients quality of life--accordingly in 67.8 and 47.2% (P = 0.024). The elaborated procedure of the IIA formation constitutes the method of choice while performing gastrectomy.

[The restoration of intestinal continuity after the performance of the Miculicz's operation]. / Vosstanovlenie nepreryvnosti kishechnika posle vypolneniia operatsii Mikulicha.

The method of double-barrelled (split) colostomy closure after performance of Miculicz operation, including extraperitoneal formation of the invagination duplicatural anastomosis, was proposed. After application of the proposed method in 21 patients the complications occurred in 2, including 1 case of the anastomotic sutures insufficiency.

[The formation of the transplant for its descending to perineum with the sphincter-salvaging surgery in patients with disseminated sigmoid colon blood supply]. / Formirovanie transplantata dlia nizvedeniia na promezhnost' pri vypolnenii sfinktero-sokhraniaiushchei operatsii u bol'nykh s rassypnym tipom krovosnabzheniia sigmovidnoi obodochnoi kishki.

The methods of the transplant formation in the loose type of the sigmoyd colon blood supply and insufficiency of the over vessel, applied in patients during sphincter-preserving operation performance for cancer recti, was proposed. Satisfactory immediate and late follow up result was noted.

[The restoration of colonic continuity after Hartmann's operation]. / Vosstanovlenie nepreryvnosti tolstoi kishki posle operatsii Gartmana.

The experience of restorational intervention with formation of duplicature (invagination) anastomosis after Hartmann's operation in 45 patients with complicated cancer recti and colonic cancer was summarized. Complications had occurred in 9.8% of observations, one patient died.

[Methods of inversion closure of transient colostomy]. / Sposob inversionnogo zakrytiia vremennoi kolostomy.

The method of inversive excision of colostomy, securing access to noninflamed tissues of intestine and pericolostomic region for consequent suturing made in accordance to requirements. While using the method purulent-inflammatory complications had occurred in less than 5% of patients and insufficiency of anastomotic sutures--in 3.4%.

[Contemporary aspects of treatment of colonic cancer, complicated by ileus. Part III. Treatment of rectal cancer, complicated by ileus]. / Sovremennye aspekty lecheniia raka tolstoikishki, oslozhnennogo neprokhodimost'iu kishechnika. Chast' III. Lechenie raka priamoi kishki, oslozhnennogo neprokhodimosti'iu kishechnika.

There were operated 331 patients with cancer of rectum, complicated by ileus. Radical operation was performed in 168 patients, palliative--in 57, symptomatic--in 106. Possibility of widening of evidences for performance of primary-restorational, sphincter-preservational operations was proved.

[Modern aspects of treatment of colonic cancer, complicated by ileus. Part II. Treatment of colonic cancer, complicated by ileus]. / Sovremennye aspekty lecheniia raka tolstoi kishki, oslozhnennogo neprokhodimosti'iu kishechnika. Chast' II. Lechenie raka obodochnoi kishki, oslozhnennogo neprokhodimost'iu kishechnika.

The results of treatment of 364 patients with colonic cancer, complicated by ileus. In 165 patients with partial ileus the radical operative interventions were performed, palliative--in 61 and symptomatic--in 83; with complete ileus--in 30.9 and 16 patients accordingly. Application of the interintestinal anastomoses formation methods, elaborated in the clinic, had permitted to perform primarily-restorational operations in 81.9% of patients with partial ileus and in 61.5%--with complete one, obtaining satisfactory immediate results. Insufficiency of the duplicature anastomosis sutures had occurred in 5 (2.2%) of colonic cancer patients, suffering partial ileus.