[Rational support of combined operations in locally disseminated stomach cancer].

An analysis of results of 315 combined operations for gastric cancer with the T3 and T4 degrees of invasion has shown that the rational multicomponent surgical, anesthesiological and therapeutic maintenance of surgical interventions for gastric cancer is the main factor responsible for the outcome of the treatment. The proposed scheme of the multicomponent rational maintenance of the combined surgical interventions allowed to reduce frequency of cardiopulmonary complications to 18.2%, pyoseptic complications to 7% and postoperative lethality to 13.

[The purposefulness of splenectomy as "a matter of principle" during surgery for stomach cancer].

The findings on radical surgery for gastric tumors T3 and T4 performed in 315 cases were analyzed to evaluate the effects of splenectomy. No influence of splenectomy on short- and long term results was observed. No justification for splenectomy as an operation of principle was found.

[Factors determining treatment effectiveness in localized stomach cancer].

The report deals with the data on the results of radical combination surgery in 315 patients with stomach tumors T3 and T4. Extensive and combination surgery coupled with a well-balanced surgical, anasthesiological and medicinal therapy proved the only effective method of managing localized cancer of the stomach.

[The efficacy of subtotal distal gastric resection in a modified Billroth-I in cancer].

For the period from 1982 to 1994 subtotal resection of the stomach (96) or gastrectomy (10) was performed on 106 patients by the Bilroth-I method. Efficiency of this method is confirmed by the 5 year survival data, which was determined by dynamic method in 42 patients and was 69.8%.