[Postoperative complications after surgical interventions for cancer of proximal regions of the rectum].

The results of surgical treatment, performed in 1986-2005 in 1690 patients, suffering proximal rectum cancer, were studied. Resectability had constituted 84.3%. Primarily-restoration operations were performed in 95.9% patients. Of 1425 patients in 85.6%--radical operations were performed, in 14.4%--palliative and in 11.6%--combined. Intraoperative complications had occurred in 7.6% patients and postoperative--in 15.3%. Anastomotic sutures insufficiency was noted in 1.8% patients. Postoperative lethality had constituted 4.2%.

[Subcardial resection for gastric cancer].

The method of subtotal gastric resection for cancer, stipulating for lower esophageal sphincter and gastric cardia, was elaborated in the clinic. Good immediate results, low rate of postoperative complications, the absence of gastroesophageal anastomosis sutures insufficience together with significant improvement of functional results due to preservation of lower esophageal sphincter function permit to recommend subcardial gastric resection as a method of choice in a distal gastric third cancer as well as in the early gastric corpus cancer.

[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 complications in surgical treatment of gastric cancer in elderly and senile patients]. / Vozniknovenie oslozhnenii pri khirurgicheskom lechenii raka zheludka u bol'nykh pozhilogo i starcheskogo vozrasta.

Causes of the perioperative complications occurrence in 736 elderly and senile patients, operated on for gastric cancer, were studied. It was established that the complications frequency and mortality were depended on the concomitant diseases presence, on the main disease complications, duration and volume of operation as well, but not from their age. The operation performance method and anesthesiological support perfection would permit to widen indications for the radical surgical intervention performance and raise the treatment of patients efficacy.