scholarly journals Immediate and Long-Term Results of the Spleen-Preserved Operations in the Surgical Treatment of Gastric Cancer

2020 ◽  
Vol 13 (3) ◽  
pp. 227-232
Author(s):  
Marina I. Rogozianskaia ◽  
Alexander Nikolayevich Redkin ◽  
Ivan Petrovich Moshurov
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Total Gastrectomy ◽  
The Body ◽  
Long Term Results ◽  
D2 Lymphadenectomy ◽  
Spleen Preserving ◽  
Cardiac Region ◽  
Clinically Significant

ntroduction. Currently, total gastrectomy with D2 lymphadenectomy is the standard surgical treatment for proximal gastric cancer at the resectable stages (I-III). The issue of advisability of splenectomy as a component of lymphadenectomy remains a controversial one, especially when the tumor is localized in the region of the body or cardiac region of the stomach.The aim of the study was to compare immediate and long-term outcomes, including the quality of life, between spleen preserving and spleen removing surgeries.Methods. The study included 363 patients with gastric cancer II-III stages, localized in the upper and/or the middle third of the stomach, who underwent surgery at the Voronezh Regional Clinical Oncology Hospital and the Voronezh Clinical Hospital of the Russian Railway-Medicine in 2015-2017. All patients were conditionally divided into 2 groups for comparative retrospective analysis. All patients of the first (experimental or spleen-preserved) group (144 patients) were performed R0 total gastrectomy with D2 lymphadenectomy, including splenic hilar nodes (№ 10,11) removal without splenectomy. Patients of the second (control or splenectomy) group (219 patients) were performed R0 total gastrectomy with D2 lymphadenectomy and prophylactic splenectomy (for splenic hilar nodes removal).Results. The average duration of the operation and the volume of blood loss did not differ in both groups. The incidence of early postoperative surgical complications was lower in the spleen-preserved group. Splenectomy was associated with more severe complications of class 4 and 5 according to the Clavien-Dindo classification. Conclusion. Parameters of the 1- and 3-year overall survival rate did not differ in both groups. The results of the GSRS questionnaire were similar in both groups, excluding reflux-esophageal symptoms scale. The reflux scale demonstrated a statistically and clinically significant advantage of spleen preservation.

Long-term results of surgical treatment of gastric cancer

1986 ◽  
Vol 67 (2) ◽  
pp. 104-106
Author(s):  
A. S. Abdullin ◽  
F. Sh. Akhmetzyanov ◽  
A. A. Samigullin ◽  
Z. N. Shemeunova ◽  
V. A. Arinin ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Stomach Cancer ◽  
Stage Iv ◽  
Stage Ii ◽  
Stage Iii ◽  
Disease Stage ◽  
Long Term Results ◽  
Long Term Outcomes

We analyzed long-term outcomes of the treatment of 217 patients (men - 126, women - 91), who underwent radical operations for stomach cancer in the period of 1972 till 1976. 14 patients were under 39, 52 - from 40 to 49, 50 to 59 - 52, 60 to 69 - 80, over 70 years old - 19. The youngest patient was 28 years old and the oldest - 76 years old. Most patients (185) were operated on at stage III of the disease, stage II was diagnosed in 27 patients, and stage IV - in 5 patients.

Feasibility of Total Gastrectomy with D2 Lymphadenectomy for Gastric Cancer and Predictive Factors for Its Short- and Long-Term Outcomes

2015 ◽  
Vol 20 (3) ◽  
pp. 521-530 ◽  
Author(s):  
Fan-Feng Chen ◽  
Dong-Dong Huang ◽  
Jin-Xiao Lu ◽  
Chong-Jun Zhou ◽  
Cheng-Le Zhuang ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Predictive Factors ◽  
D2 Lymphadenectomy ◽  
Long Term Outcomes ◽  
Short And Long Term

scholarly journals Epidemiology and Surgical Treatment of Gastric Cancer in Latvia

2009 ◽  
Vol 63 (4-5) ◽  
pp. 249-252
Author(s):  
Armands Sīviņš ◽  
Jānis Misiņš ◽  
Corrado Pedrazzani ◽  
Guntis Ancāns ◽  
Aivars Stengrēvics ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Long Term Results ◽  
R0 Resection ◽  
Curative Intent ◽  
Operative Complications ◽  
Short And Long Term ◽  
Oncology Centre ◽  
Histopathologic Confirmation

Epidemiology and Surgical Treatment of Gastric Cancer in Latvia The aim of the study was to evaluate short- and long-term results of surgical treatment of gastric cancer performed in Latvia Oncology Centre. Retrospectively data was collected from 461 patients who underwent gastrectomy with curative intent in the Latvia Oncology Centre from January 2001 to December 2005. The data was subjected to statistical analysis. On average, 92.2 (range 81-102) R0-R1 gastrectomies were performed each year. Post-operative complications occurred in 75 patients (16.3%); in-hospital mortality was 3.3%. The overall 5-year survival was 50.8%. In 444 cases (96.3%) there was histopathologic confirmation of R0-resection with a 5-year survival of 52.5% (P < 0.001). Considering pT category, 5-year survival (median) was 88.6% (not reached) for pT1 patients, 65% (not reached) for pT2, 42.3% (35.7 months) for pT3 and 27% (14.2 months) for pT4 (P < 0.001). Considering the pN category, 5-year survival (median) was 67% (not reached) for pN0 patients, 30% (22.1 months) for pN1 and 29% (14.2 months) for pN2-3 (P < 0.001). Short- as well as long-term results are comparable with Western experiences, but not for pN+ patients where no difference between pN1 and pN2 cases was observed.

New possibilities in the treatment of uterine body myomas – HIFU-technology

2017 ◽  
pp. 47-51
Author(s):  
T.M. Kozarenko ◽  
◽  
I.Yu. Karacharova ◽  
V.N. Goncharenko ◽  
A.N. Klyusov ◽  
...  
Keyword(s):  
Clinical Symptoms ◽  
The Body ◽  
Uterine Myoma ◽  
Long Term Results ◽  
Clinical Material ◽  
General Effect ◽  
Non Invasive ◽  
Ultrasound Ablation ◽  
Clinically Significant

The technology of HIFU-ablation has a number of advantages in comparison with other methods of treatment of patients with uterine myoma, since it is non-invasive, organ-preserving, has no clinically significant general effect on the body, is not accompanied by a long period of rehabilitation and temporary disability. The objective: was to increase the effectiveness of treatment of women with uterine myoma by optimizing the protocols of ultrasound ablation. Patients and methods. The clinical material consisted of 90 remote ultrasound ablations for women diagnosed with «symptomatic myoma of the uterus body», which were performed at KMECC, the Center for Nuclear Medicine. The procedure was carried out on a JC apparatus (manufactured by: Chongqing Haifu (HIFU) Technology Co., Ltd., China). Results. The power during treatment was 350±70 W, the total energy was 282 487±47 650 J, the average time of insonation was 765±137 s. With dynamic observation, the regression of the volume of myoma nodes on average averaged 25±14.6% after 1 month, 33±12.9% after 3 months, and 61±17.8% after 6 months. But 4 (9,7%) patients had an unsatisfactory effect after the procedure, and the treatment was continued. All patients recorded a decrease in clinical symptoms already in the first month after the procedure. When the procedure was performed, 5 (12.2%) patients had a first-degree skin burn, 14 (34.1%) women had a short-term increase in body temperature to 37.6°C on the day of the procedure, which stabilized independently in for 3 days, in 1 (2.4%) – cystitis. The conclusion. The method is selective, does not damage surrounding tissues, thereby being safe for the endometrium, which is important for maintaining fertility. The area of fibrosis, which is formed after treatment and the regression process of the myoma node, is safe for further gestation. For the clinical evaluation of this method, its impact on the quality of life, immediate and long-term results, further accumulation and analysis of the clinical material is necessary. Key words: uterine myoma, local adenomyosis, ultrasonic ablation, HIFU-technology, treatment.

6582 Long-term results of surgical treatment of recurrent gastric cancer

2009 ◽  
Vol 7 (2) ◽  
pp. 385
Author(s):  
M. Khudayberdieva ◽  
M. Djuraev ◽  
S. Mirzaraimova ◽  
D. Egamberdiev
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Long Term Results ◽  
Recurrent Gastric Cancer

Reconstructive surgery of the operated stomach

2019 ◽  
Author(s):  
Дмитрий Ручкин ◽  
Dmitriy Ruchkin ◽  
Валентин Козлов ◽  
Valentin Kozlov
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Gastrointestinal Tract ◽  
Medical Research ◽  
Reconstructive Surgery ◽  
Gastric Surgery ◽  
Long Term Results ◽  
National Medical ◽  
Operated Stomach

The monograph formulated the concept of physiological reconstruction of the digestive tract during repeated operations on the stomach. The experience of surgical treatment of patients with diseases of the operated stomach and recurrent gastric cancer of the Department of reconstructive surgery of the esophagus and stomach Of the national medical research center of surgery named after A. V. Vishnevsky is presented. The immediate and long-term results of the original operations selected individually are highlighted. Special attention is paid to the study of motor and evacuation function of the gastrointestinal tract, to identify the frequency and severity of postgastrectomy and postgastresection syndromes after reconstructive interventions. For students and teachers, as well as anyone interested in the problems of gastric surgery.

scholarly journals Evaluation of surgical treatment for advanced gastric cancer based on long term results.

1989 ◽  
Vol 22 (10) ◽  
pp. 2494-2497
Author(s):  
Kiwao ISHIMOTO ◽  
Hiroshi TANIMURA ◽  
Yoji TABUSE ◽  
Yugo NAGAI ◽  
Katsuyoshi TABUSE ◽  
...  
Keyword(s):  
Gastric Cancer ◽  
Surgical Treatment ◽  
Advanced Gastric Cancer ◽  
Long Term Results

scholarly journals The Significance of Splenectomy for Advanced Proximal Gastric Cancer

2012 ◽  
Vol 2012 ◽  
pp. 1-7 ◽  
Author(s):  
Atsushi Nashimoto ◽  
Hiroshi Yabusaki ◽  
Atsushi Matsuki
Keyword(s):  
Gastric Cancer ◽  
Total Gastrectomy ◽  
Locally Advanced ◽  
Survival Rates ◽  
Proximal Gastric Cancer ◽  
Term Survival ◽  
Spleen Preserving ◽  
Splenic Hilus ◽  
Better Than

Objectives. The significance of splenectomy in advanced proximal gastric cancer is examined retrospectively.Methods.From 1994 to 2004, 505 patients with advanced proximal gastric cancer underwent curative total gastrectomy with preserving spleen (T) for 264 patients and total gastrectomy with splenectomy (ST) for 241 patients.Results. Patients who underwent splenectomy showed more advanced lesions. The metastatic rate of lymph node (LN) in the splenic hilus (No. 10) in ST was 18.3%. As for the incidence of surgical complications, there was not statistically difference except for pancreatic fistula. The index of estimated benefit of (No. 10) LN was 4.2, which was similar to that of (No. 9), (No. 11p), (No. 11d), and (No. 16) LNs. 5-year survival rate of (No. 10) positive group was 22.2%. 5-year survival rates of pSE and pN2 in T group were better than that of pSE and pN2 in ST, respectively. The superiority of ST was not confirmed even in Stage II, IIIA, and IIIB.Conclusion. Splenectomy was not effective for patients with (No. 10) metastasis in long-term survival. Spleen-preserving total gastrectomy will be feasible and be enough to accomplish radical surgery for locally advanced proximal gastric cancer.

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