Место хирургии в лечении осложненных форм неходжкинских лимфом желудочно-кишечного тракта

Results of conservative and surgical treatment of 396 patients with non-Hodgkin’s lymphomas of gastrointestinal tract are presented in the article. 134 patients (70,5 %) had true tumorous complications (bleedings at the gastric or intestine tumors, perforation of wall or stenosis of hollow organ in the region of tumorous injury). 78 patients of 134 had injury of stomach, 56 injury of small and large intestine. Patients with non-Hodgkin’s lymphomas of stomach predominantly had bleedings (74,3 %) and patients with non-Hodgkin’s lymphomas of intestine predominantly had intestinal obstruction (60,7 %). Conservative treatment in case of both non-Hodgkin’s lymphomas of stomach and non-Hodgkin’s lymphomas of small and large intestine was performed only in case of bleedings and passage disorders, while perforation was indication to surgical treatment. Palliative gastrectomies and gastric resections were performed in 57 operated patients with nonHodgkin’s lymphomas of stomach, bypass and explorative operations for 9 patients. Affected organs were ablated in 42 patients with non-Hodgkin’s lymphomas of small and large intestine, explorative and symptomatic operations were performed in 9 patients. Radically operated patients had lower postoperative mortality in comparison with patients after palliative operations, and it was observed both for patients with non-Hodgkin''s lymphomas of stomach and non-Hodgkin''s lymphomas of small and large intestine. Tumoral complications at NHL of a gastrointestinal tract have adverse predictive value.