Reconstructive surgery for recurrent gastric cancer

Ruchkin, Dmitry; Kozlov, V A

doi:10.17116/onkolog20198051340

Cited by 3 publications

(1 citation statement)

References 2 publications

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“…С этой позиции приходится признать конструктивное несовершенство Ру-петли как анатомо-физиологической ошибки с выключением из пищеварения участка тощей киши длиною в 1 метр! [36,37,38,42] Академиком Бондарем Г. В. была предложена методика реконструкции после гастрэктомии с применением муфтообразного пищеводно-кишечного анастомоза и редуоденизации [39].…”

Section: обзоры литературыunclassified

Гастропластическая Онкохирургия

Ладур¹,

Попович²,

Заика³

et al. 2021

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В данной работе приведены литературные данные об эволюции гастрохирургии, изучена роль двенадцатиперстной кишки в хирургических аспектах, изучены функциональные результаты и качество жизни больных после гастрэктомии с формированием «искусственного желудка» по Г. В. Бондарю.

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Section: обзоры литературыunclassified

Гастропластическая Онкохирургия

Ладур¹,

Попович²,

Заика³

et al. 2021

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Immediate and long-term results of proximal gastric resection depending on the methods of the digestive tract continuity restoring

Тишакова¹,

Ruchkin²,

Бондаренко³

2021

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Proximal gastric resection (PGR) is still one of the most difficult and dangerous surgical interventions, and it is the only method of curative treatment of diseases of the cardiac part of the stomach in many cases. 5 types of gastrointestinal reconstruction are mainly performed after PRG: submerged rectal esophagogastroanastomosis, antireflux interposition of the jejunal segment, interposition of the jejunal segment of the jejunal pocket, interposition of the jejunal segment as a double tract and reconstruction with the formation of a gastric tube. Modern literature includes many works devoted to the development of methods of physiological reconstruction after subtotal and total removal of the stomach; however, none of the existing methods is recognized as optimal. Among the main indicators characterizing the effectiveness of PGR are the frequency and severity of the development of a large group of functional disorders, characterized as «diseases of the operated stomach», or «post-gastro-resection disorders», which significantly worsen the quality of life (QOL) and reduce the working capacity, which causes disability of the operated patients Assessment of QoL after surgery for diseases of the cardiac stomach is a fundamentally important component of monitoring the effectiveness of treatment and, therefore, allows one to determine the indications for certain types of interventions. The available world scientific literature does not provide convincing data on the assessment of QOL in patients after proximal resection for cardiac part of the stomach diseases, since there are no clear criteria for its assessment depending on the chosen methods and methods of reconstruction of gastrointestinal tract (GIT). In this regard, there is a need for further study of proximal resection with reconstruction of the gastrointestinal tract in surgical diseases of the cardiac part of the stomach on the basis of analysis of immediate and long-term results, as well as the quality of life of patients who underwent these surgical interventions.

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The possibilities of cytoreductive operations in recurrent abdominal pain syndrome in cancer patients, occurring under the mask of acute pancreatitis

Baulin,

Averyanova,

Baulin

et al. 2024

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Among the diseases of urgent pathology, the leading place belongs to acute pancreatitis, which is inferior to such nosologies as acute appendicitis and acute cholecystitis. Moreover, the lion’s share is occupied by light forms, which make up 85%. The aim of the work is to demonstrate a clinical case of recurrent abdominal syndrome occurring under the mask of acute pancreatitis in a patient with oncopathology identified using a diagnostic algorithm used in outpatient practice. Material and methods. Patient F., 60 years old, repeatedly sought medical help in a network of polyclinics and hospitals providing emergency specialized medical care with recurrent abdominal syndrome. Results and discussion. Against the background of conservative treatment, the patient had a short-term positive dynamics characteristic of a mild form of acute pancreatitis. After taking the patient to the dispensary and conducting an in-depth diagnostic examination according to the algorithm developed by our group of researchers, cancer of the stomach stump T2N0M0 was detected. Conclusion. Patients with recurrent abdominal pain syndrome need dispensary observation on an outpatient basis to identify other pathology occurring under the guise of acute pancreatitis and to conduct adequate treatment.

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Reconstructive surgery for recurrent gastric cancer

Cited by 3 publications

References 2 publications

Гастропластическая Онкохирургия

Гастропластическая Онкохирургия

Immediate and long-term results of proximal gastric resection depending on the methods of the digestive tract continuity restoring

The possibilities of cytoreductive operations in recurrent abdominal pain syndrome in cancer patients, occurring under the mask of acute pancreatitis

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