Онкология THE PRINCIPLES OF SURGICAL TREATMENT OF LOCALLY ADVANCED GASTRIC CANCER SPREAD
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ONCOLOGY BULLETIN OF THE VOLGA REGION

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THE PRINCIPLES OF SURGICAL TREATMENT OF LOCALLY ADVANCED GASTRIC CANCER SPREAD

F.Sh. Akhmetzyanov1-3, F.F. Akhmetzyanova1,2

1 Kazan State Medical University, Kazan

2 Tatarstan Cancer Center, Kazan

3 Volga branch of the Russian Cancer Research Center named after N.N. Blokhin, Kazan

 

 

Akhmetzyanov F.Sh — D. Med. Sc., Professor, Head of the Department of Oncology, Radiation Diagnostics and Radiotherapy

49 Butlerov St., Kazan, Russian Federation, 420012, tel.: (843) 292-45-29, +7-917-254-50-86, e-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра.

 

 

Abstract. The authors quite clearly articulates the general principles of treatment of locally advanced gastric cancer (GC). The issues of surgical access, operating diagnostics, explorative phase of the operation. We have described the resection process during the operation, which includes the provision of radicalism in terms of the removable portion of the stomach and lymph node dissection, the effectiveness of combined operations, including splenectomy, restorative stage and prevention of severe postoperative complications. Given their own classifications of gastric cancer localizations, parietal chain lymph nodes (LN) and lymph node dissection. The question is about the features of the treatment of elderly patients. The data research in remote and immediate results of surgery for gastric cancer with the use of extended lymph node dissection (RLD). It is concluded that compliance with the general principles of treatment of gastric cancer increases radical surgery, reduces the frequency of the nearest postoperative complications and mortality of local recurrence, improves long-term results of treatment.

Key words: stomach cancer, gastrectomy, gastric resection, lymphogenous metastasis, extended lymph node dissection.





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