Based on the observation of 40 patients the authors consider that the greatest amount of postoperative complications in patients with gastric cancer make their appearance after reconstructive and palliative gastrectomies and combined operative interventions. Timely relaparotomy allowed saving 37.5% of the patients who had such complications as incompetence of anastomosis sutures, pancreanecrosis, peritonitis, intraabdominal abscesses. A retrospective analysis of causes of the complications allowed developing a prophylactic complex of measures which includes means of the operative technique and preparation of weakened organism of oncological patients to the foregoing operative trauma.

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