[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.

[Prophylaxis of microcirculation disorders caused by operative trauma and accompanying complications of radical surgery for gastric cancer].

The stress injury of the gut organs due to ischemia constitutes the cause of complications and mortality after performance of radical operation for gastric cancer. Alcoholization of celiac nerves is proposed for an ischemic damage prophylaxis. Complications and mortality were analyzed in two groups of patients operated on, using endotracheal narcosis plus alcoholization and without it.