[Spleen-preserving D2 lymphodissection in gastrectomy].

Aim: To analyze immediate and remote results of surgical treatment of 480 patients with gastric cancer who underwent total gastrectomy.

Material And Methods: The study group included 371 patients who had spleen-preserving D2 lymphodissection during gastrectomy and control group consisted of 109 patients after D2 lymphodissection with splenectomy. Duration of surgery was 183.

[Postoperative pancreonecrosis prophylaxis in a gastric cancer surgery].

Efficacy of a new method of intraoperative regional sympathetic blockade of splanchnic nerves was estimated, basing on the results of surgical treatment of 3134 patients, suffering gastric cancer. While comparing the immediate results of surgical interventions there was established, that the risk of postoperative pancreatitis occurrence (lethality) is dependent on the kind of operation performed and its traumaticity. The risk of postoperative pancreonecrosis occurrence (lethality) lowering after standard surgical and combined intervention, after gastric surgery with pancreatic resection was promoted by application of a spiritus-novocaine blockade with the objective to suppress sympathetic reflexes as an element of anesthesia intraoperatively and in early postoperative period.

[Reconstruction after the gastrectomy by proximal stomach cancer].

The 30 years experience of surgical treatment of the proximal gastric cancer type II and III by Siewert classification in 681 patients was analyzed. 448 gastrectomies and 233 gastrectomies with proximal esophagus resection were performed. Gastrectomy with esophagus resection led to more complications (34.

[The ways to reduce the occurrence rate and severity of alimentary-enterogenic autonomic syndrome after gastrectomy].

The efficacy of a new gastroplasty method, concerning prophylaxis of occurrence and reduction of severity of alimentary-enterogenic vegetative syndrome (AEVS), was studied in 189 patients, suffering gastric cancer, in whom gastrectomy was performed. In the patients of the main group while conducting of restoration stage of the operation the reservoir for food in initial jejunal portion was formatted, in a control group a standard loop-like reconstruction was applied. In the remote follow-up period of observation while a new gastroplasty method was applied there the reduction of rates of hypoglycemic and hyperglycemic syndromes was registered.

[Gastrectomy with the intestinal reservoir formation as a method of prophylaxis of the main postgastrectomy complications].

In oncological clinic there was elaborated and introduced into the practice a new technology of a gut reconstruction in patients with gastric cancer while gastrectomy performance, which include the intestinal reservoir formation using first part of jejunum. Technology of the intestinal reservoir formation is not a complex one, the operative intervention time, in comparison to that in a standard loop reconstruction while gastrectomy performance, increases by (33.2 +/- 3.

[Simultaneous surgeries in cancer surgery].

Of 14,448 operated patients with malignant tumor of different localization in 368 (25% +/- 0.1%)--simultant operations (SO) were performed. Terminology of SO was determined in oncosurgery, classification of indications to performance of SO was proposed in patients with coexistent oncosurgical diseases.