Volkov V., Volkov S.
Revisiting Indications and Choice of Palliative Surgery Technique in Patients with Gastric Cancer
The results of palliative surgeries performed in 65 patients with stage IV gastric cancer are presented. Indications for palliative surgery were massive gastric bleeding or obturation of various gastric parts. Life expectancy in this category of patients in most cases is limited to a few months, less often to 1-2 years. Performing gastrostomy should be extremely limited and at the same time indications for total ¬gastrectomy should be extended, which allows to eliminate the cause of obturation and bleeding from the stomach tumor. When performing gastrectomy, the esophageal-intestinal anastomosis can be formed using a suturing device (STVS, EEA). Patients who have undergone various in terms of volume surgical interventions, need to improve the quality of their life, which is achieved by relieving the patient from pain, creating the ability to eat, improving metabolic processes, preventing rapid weight loss due to periodic intravenous infusions of colloidal and crystalloid solutions (including fresh frozen plasma), preserving mental status. Improving the quality of life in a large contingent of doomed patients who have undergone various palliative surgical interventions should be considered the most important task of practical health care.
- Berezov Yu.E. Khirurgiya raka zheludka [Surgery of gastric cancer]. Moscow, Meditsina Publ., 1976, 356 p.
- Volkov S.V. Gastrektomiya i ee posledstviya [Gastrectomy and its consequences]. Cheboksary, Chuvash University Publ., 2007, 474 p.
- Claassen Y.H.M., Bastiaannet E., Hartgrink H.H. et al. International comparison of treatment strategy and survival in metastatic gastric cancer. J.S. Open, 2018, Oct. 9, vol. 3, no. 1, pp. 56–61.
- Izuishi K., Mori H. Recent Strategies for Treating Stage IV Gastric Cancer: Roles of Palliative Gastrectomy, Chemotherapy, and Radiotherapy. Gastrointestin Liver Dis., 2016, Mar., vol. 25, no. 1, pp. 87–94.
- Kotan C., Kislt E., Sihmez R. et al. Nonoperative total gastrectomy and oesophagogastrectomy in the treatment of advanced gastric carcinoma in a contry high incidente. Acta Chir. Belg., 2005, vol. 105, pp. 519–522.
- Thrumurthy S.G., Chaudry M.A., Chau I., Allum W. Does surgery have a role in managing incurable gastric cancer? Nat. Rev. Clin. Oncol., 2015, Nov., vol. 12, no. 11, pp. 676–682.
- Volkov Vladimir
- Doctor of Medical Sciences, Professor, Head of Surgical Diseases Department, Chuvash State University, Russia, Cheboksary (email@example.com)
- Volkov Sergey
- Doctor of Medical Sciences, Professor of Surgical Diseases Department, Chuvash State University, Russia, Cheboksary (firstname.lastname@example.org)
Volkov V., Volkov S. Revisiting Indications and Choice of Palliative Surgery Technique in Patients with Gastric Cancer [Electronic resource] // Acta medica Eurasica. – 2019. – №3. P. 7-14. – URL: http://acta-medica-eurasica.ru/en/single/2019/3/2/.