Complicated gastric cancer as a problem of urgent surgery

Authors

  • B. O. Matvijchuk Danylo Halytsky Lviv National Medical University
  • Y. A. Korol Danylo Halytsky Lviv National Medical University
  • Y. Z. Pater Danylo Halytsky Lviv National Medical University
  • D. V. Andrushchenko Danylo Halytsky Lviv National Medical University
  • O. B. Matvijchuk Danylo Halytsky Lviv National Medical University
  • A. V. Hotsulenko First Lviv Medical Union
  • S. O. Sheremeta First Lviv Medical Union

DOI:

https://doi.org/10.11603/2414-4533.2023.2.13993

Keywords:

gastric cancer, complications, bleeding, stenosis, perforation

Abstract

The aim of the work: to study the immediate results of providing urgent surgical care to patients with complicated gastric cancer.

Material and methods. In the course of the study, 47 cards of inpatients who were treated in the clinic of surgery, plastic surgery and endoscopy of the post-graduated department of Danylo Halytsky Lviv Medical University for the period from April 2020 to September 2022. Men (31 patients – 66 %) over the age of 60 (35 patients – 75 %) predominated.

Results and Discussion. The main reason for emergency hospitalization was gastric bleeding (20 patients – 43 %). Drug therapy was carried out successfully in 12 (60 %) patients. The rest (8 patients – 40 %) had to use endoscopic methods of bleeding control, in particular, argon plasma coagulation. In 9 patients, the tumor process was manifested by signs of stenosis of the stomach exit. After a long preoperative resussitation, in 4 patients surgical treatment – subtotal gastrectomy – was performed. The rest of the patients (5), who were diagnosed with IV stage of the oncoprocess, underwent endoscopic stenting to eliminate the stenosis. In two patients who were hospitalized with signs of peritonitis due to perforation of gastric cancer the suturing of the perforation with strand of large cap tamponade was performed. In general, out of 31 patients hospitalized with complicated gastric cancer, 7 were performed a surgery (surgical activity – 22.6 %). The following operations were performed: total gastectomy with D2-lymphodissection – 1 (due to bleeding); radical subtotal gastrectomy – 3 (due to stenosis); palliative subtotal gastrectomy – 1 (due to stenosis); suturing of perforation – 2. One patient died after suturing of perforation of gastric cancer due to the sutures leakage and the formation of a gastric fistula. Postoperative mortality was 14.3%.

Complications of gastric cancer are divided into specific (relating to the existing oncological process itself – bleeding, stenosis, perforation) and non-specific, which occur exclusively during the dissemination of the process, regardless of its primary localization.

References

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Published

2023-07-25

How to Cite

Matvijchuk, B. O., Korol, Y. A., Pater, Y. Z., Andrushchenko, D. V., Matvijchuk, O. B., Hotsulenko, A. V., & Sheremeta, S. O. (2023). Complicated gastric cancer as a problem of urgent surgery. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 54–58. https://doi.org/10.11603/2414-4533.2023.2.13993

Issue

No. 2 (2023)

Section

EXPERIENCE OF WORK

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