Experience in the implementation of palliative, combined and expanded operations in emergency surgery of gastric cancer
DOI:
https://doi.org/10.11603/2414-4533.2016.3.6793Abstract
The article describes the experience of urgent oncosurgical abdominal operations carried out on the basis of Abdominal Oncology Department for the period 2012–2014 years. In total, the study included 51 patients, who underwent emergent and urgent elective surgery for complications of stomach cancer. Total holds 27 palliative, 6 advanced, 15 combined operations. The really emergent were only 2, during which were performed in both cases gastrectomy with splenectomy without performing extended lymph node dissection. It was concluded that the implementation of radical surgery does not increase mortality rate in complicated gastric cancer. In the world of emergent medicine there are used different classification approaches, including emergency operations, most of which is a unified classification WSES-2013. The traditional distribution of urgent cancer operations in urgent / emergency / routine or even more frequently in the urgent / routine is well established and necessary. Personalisation approach to each of urgent surgical case, as well as general trend towards individualization in oncology seems to be inherent motive of future methodological changes in emergency cancer surgery.References
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