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New Technology in the Surgery of Gastric Cancer

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Author(s): KHUDOYOROV S.S. | NAVRUZOV S.N. | JURAEV M.D. | ESHONOV A.K.

Journal: European Medical, Health and Pharmaceutical Journal
ISSN 1804-5804

Volume: 1;
Start page: 23;
Date: 2011;
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Keywords: SURGERY | STOMACH CANCER

ABSTRACT
Objective: To prevent the possible functional complicationsafter gastrectomy, to improve the quality of life and theprocess of early rehabilitation.Material and Methods: The study included 165 patients withgastric cancer of stage III (T3N12M0), which, depending on the method of recovery divided into 2 groups: Group 1 n= 80 patients who, after an extensive gastrectomy had reservoir formed, II group n = 85 patients who had gastrectomy performed without forming a reservoir.Results: There were no incidence of reflux esophagitis anddumping syndrome observed in the main group, while in thecontrol group, these complications were respectively 61.2%and 25.8%. Weight gain in the main group was observed in83.7% of patients, in the control group in 4.7%. Assessmentof physical activity on the Karnovsky scale in the study groupwas 85.0%, while 62.0% in the control group.Within 3 months, physical rehabilitation was observed in90.0% of patients of the main group, while in the controlgroup it was 25.7%.Threeyear survival rate in the main group was 71.4+0.4%,while in the control group, 57.2+0.3% (P> 0.05).Conclusions: Creation of a stomach replacing reservoir aftergastrectomy is adequate way in ridding patients frompossible complications.Method improves the quality of life, the process of earlyrecovery and significantly increases the indices of 3yearsurvival.
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