Cancer metastatic gastric. [D3 lymphatic dissection in surgery for gastric cancer].
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Source: Acta Medica Transilvanica. Abstract: We conducted a retrospective study on patients from a single surgeon's experience with the aim to analyze the different types of gastric resection performed for both benign cancer metastatic gastric malignant diseases of the upper gastrointestinal tract and to compare the different reconstructive techniques using the Roux-en-Y loop and their postoperative complications and mortality.
The restoration of the duodenal passage had no negative influence on the postoperative results, while the multivisceral resections, the splenectomy and the palliative resections for gastric carcinoma increased the mean hospital stay and were associated with a higher incidence of complications and mortality.
The gastric resection with Roux-en-Y reconstruction is an operation which can be performed in a various range cancer metastatic gastric diseases of the upper gastrointestinal tract, the gastric cancer being nowadays its main indication.
Because of the lower rate of postoperative complications, the subtotal gastrectomy is preferred over the total gastrectomy. The splenectomy in the cases of gastric cancers is only required when there are metastatic lymph nodes in cancer metastatic gastric splenic hilum.
How Cancer Spreads (Metastasis) - Michael Henry, PhD
Multivisceral resections are indicated only when R0 margins can be obtained. The restoration of the duodenal passage is a feasible alternative method of reconstruction after gastrectomy. Copyright of Acta Medica Transilvanica is the property of Acta Medica Transilvanica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission.
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