Extended lymphadenectomy in stomach cancer

• Published in: Hirurgija (Moskva) no. 5; p. 18
• Main Authors: Arutiunian, G A, Selin, S M, Arutiunian, V A
• Format: Journal Article
• Language: Russian
• Published: Russia (Federation) 1999
• Subjects: Humans; Lymph Node Excision - methods; Lymphatic Metastasis; Peritoneal Cavity; Stomach Neoplasms - surgery
• ISSN: 0023-1207

The results of surgical treatment in 120 patients with cancer of the stomach have been analyzed. Metastatic involvement in all groups of lymphatic nodes was revealed in 68.3% cases, retroperitoneal metastases were detected in 46 patients (38.3%). 38 subtotal resections of the stomach and 82 gastrectomies with retroperitoneal lymphadenectomy R2 and R3 were performed. Esophagojejunoanastomosis end-to-end with a loop excluded by Roux was applied in 110 patients and esophagoduodenoanastomosis--in 10 patients. Insufficiency of esophagointestinal anastomosis was revealed in 3 patients. The rate of complications was 29.2%, lethality--8.3%. High rate of postoperative complications and lethality were explained by initially severe conditions of the patients (61%) and by complicated forms of gastric cancer in 6 patients. Improvement of early results of surgical interventions lies in the usage of antibacterial prophylaxis, preventive intravenous introductions of 5-fluorouracil, adequate drainage of the abdominal cavity, careful preparation and ligation in the course of the operation.