Possibilities of intraoperative thermal chemotherapy in radical surgery for advanced gastric cancer pt4a-4bn0-3M0.

The paper evaluates results of randomized study of treatment of 135 patients for II-IIIB stage resectable gastric cancer (Borrmann type III and IV); of them 70 underwent intraoperative hyperthermic chemotherapy based on a technique adopted in the clinic. It has been noted the improvement of long-term results in particular the increase of dissemination-free survival (plog-rank=0,004) especially in patients with absence of metastases in regional lymph nodes (pN0) - (plog-rank=0,03). Application of an integrated technique appears to improve remote results thereby necessitating the need for further studies.