Surgical tactics for hemorrhage-complicated gastric cancer

Abstract

The paper presents diagnosis and surgical tactics while treating 219 patients with gastric cancer. Carcinoma was present in the cardia in 26% of the patients, in the body in 37.9%, in the anthral part in 17.8%, total lesion in 12.8%, and stump cancer in 5.5%. Seventy-four (33.8%) patients with arrested bleeding were recognized as inoperable; 145 patients were operated on. Emergency operations were performed in 28 patients; urgent operations due to threatening recurrent hemorrhage and delayed ones were in 14 and 103 patients. Gastrectomy with lymphodissection D2 was carried out in 78 (54.6%) patients and subtotal gastric resection was in 40 (28%); the other patients underwent palliative operations. Mortality was 14.3 and 21.4% after radical and palliative surgery, respectively. After radical operations, 66.1 and 32.9% survived 3 and 5 years, respectively.

Keywords

gastric cancer / hemorrhage

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