ABSTRACT
Extirpation of the stomach accounts for 55.5% of all radical surgery for gastric cancer. Five hundred and sixty-two operations with creation of invaginated esophageal-intestinal (gastric) anastomosis were performed. The surgical technique is presented, its positive points are demonstrated. Main advantages of the invaginated anastomosis are physiologic function in postoperative period and a decreased rate of sutures insufficiency. Complications after extirpation and proximal resection of the stomach were seen in 17.6% cases, 5.9% patients died. Insufficiency of anastomosis sutures was in 8 (14%) patients, 4 (0.7%) of them died.
Subject(s)
Anastomosis, Surgical/methods , Esophagus/surgery , Intestine, Small/surgery , Stomach Neoplasms/surgery , Aged , Aged, 80 and over , Humans , Middle AgedABSTRACT
1070 patients underwent radical operations for stomach carcinoma in the Vishnevsky Central Military Clinical Hospital for the period of time from 1969 to 1993 (85.4% from the number of admitted patients in whom the cancer was revealed for the first time). Subtotal distal stomach resection was performed in 627 (58.6%) patients, subtotal proximal resection--in 78 (7.3%), gastrectomy--in 365 (34.1%), combined operations were conducted in 193 (18%) patients. After subtotal distal resection the complications developed in 12.6%; the lethality constituted 5.4%. After subtotal proximal resection and gastrectomy with vertical anastomosis 23.3% have died, with invagination anastomosis--9.7%. 5-year survival after radical operations in stomach carcinoma was documented in 38.9%, 10-year survival--in 28.6% of the patients.
