ABSTRACT
The method for application of the esophago-intestinal anastomosis after total gastrectomy for cancer of the stomach has been developed. Over 400 patients were operated on by this method. Substantial decrease of postoperative complications' rate was observed, particularly--faibure of sutures of the anastomoses have been developed only in 0.9% of patients. Reflux-esophagitis in long-term postoperative period was detected only in 2.2% of patients due to the usage of afferent loop of the bowel for the creation of valvular mechanism. Regarding the simplicity of the procedure, high reliability and favourable functional abilities of this anastomosis, the authors recommend it for wide application in surgical practice.
Subject(s)
Esophagus/surgery , Gastrectomy , Intestine, Small/surgery , Stomach Neoplasms/surgery , Anastomosis, Surgical/methods , Humans , Retrospective Studies , Treatment OutcomeABSTRACT
The paper discusses the results of a cooperative study concerned with the immediate and end results of treatment of stage III cancer of the antral part and body of the stomach in patients randomly assigned to receive surgery either alone (142 cases) or in combination with preoperative Co 60 gamma teletherapy (139). Preoperative radiotherapy was not followed by increase in postoperative complication rate as compared to surgery alone. Combined treatment appeared to assure higher three- and five-year survival. Irradiation in the total dose of 20 Gy induced grade I-II pathomorphosis of tumor. Ways towards raising the efficacy of the radiation component of combined (radiosurgical) treatment of gastric cancer need to be further investigated.
