[Subtotal resection by Billroth-I and its place in the surgical treatment plan for stomach cancer]. / Subtotal'naia rezektsiia po Bil'rot-I i ee mesto v plane khirurgicheskogo lecheniia raka zheludka.

An examination of the resected material obtained from 267 cases operated on for cancer of the distal part of the stomach (after Billroth 1-21.4 and Billroth 2-78.6%) failed to establish any correlation between frequency of postoperative complications, mortality rate or even 5-year survival, on the one hand, and surgical procedure, on the other (p greater than 0.05). Such postgastrectomy complications as dumping syndrome and reflux-esophagitis did not occur after application of Billroth 1 procedure, while in the other group they were observed in every seventh case (14.2 +/- 2.4%). Resection after Billroth 1 may be recommended for treatment of a considerable number of patients with cancer of the distal part of the stomach since it is as radical as Billroth 2 procedure but does not disturb major physiological functions.

[Characteristics of the course of peritonitis in oncological patients]. / K osobennostiam techeniia peritonita u onkologicheskikh bol'nykh.

Among 16 patients admitted into the Volynsk oncological dispensary with far-advanced tumors of the stomach and colon, the tumor perforation was recognized prior to surgery only in a half of the cases. Despite marked local proliferation and distant metastases there may be a pronounced pain syndrome. The absence of parallelism between the moment of intestinal content getting into the abdominal cavity and the protective reaction of the anterior abdominal wall musculature was characteristic of these patients. While the symptoms of peritoneal irritation in perforated gastric cancer can be recognized within the period up to 2 hours, the perforation of rectal cancer is frequently not accompanied with peritoneal signs. Among gastric cancer patients the perforation was diagnosed within 6 hours in six cases. The time of recognition of perforated cancer of the transverse colon and rectum was 15--16 hours.

[Surgical treatment of breast cancer patients (according to material from the Rovno, Novgorod, Zvenigorod, Murmansk and Volynsk oncologic dispensaries]. / O khirurgicheskom lechenii bol'nykh rakom molochnoi zhelezy (po materialam Rovenskogo, Novgorodskogo, Zvenigorodskogo, Murmanskogo i Volynskogo onkodispanserov

A retrospective analysis of the survival in 230 patients with breast cancer, stage T1N0M0, subjected to mastectomy is presented. The results of treatment are compared with the survival of 62 patients, in whom economic resections were performed (segmental resection, routine mastectomy). In both groups of patients late results of treatment in stage T1N0M0 practically coincided. It was found that about 20% of nonpulpable axillary lymph nodes proved to be involved in metastases. Due to this, it is recommended to perform economic operations simultaneously with surgical dissection of axillary lymph nodes en bloc with a tumor.