КОМБИНИРОВАННЫЕ ОПЕРАЦИИ У ПАЦИЕНТОВ С РЕЗЕКТАБЕЛЬНЫМ РАКОМ ЖЕЛУДКА

The analysis of the long-term results of treatment of 1065 radically operated gastric cancer patients was carried out. 103 of them underwent combined operations. A statistically significant effect of the nature of the operation performed on the number of postoperative complications (4.9 % after combined operations, 1.1–3.4 % after standard operations)  and the incidence of disease progression (39.8 % after combined operations, 17.8–30.1 % after standard operations). Prevalence in the structure of the progression of peritoneal dissemination was noted, the 4-year cumulative incidence of which after  combined operations was 41.1 ± 0.3 % and after standard operations – from 13.26 ± 0.02 to 27.27 ± 0.07 %. The latter testifies  to a relative radical surgical treatment when a tumor leaves the gastric wall, which requires the use of adjuvant treatment  aimed at preventing the progression of gastric cancer, primarily with disseminated peritoneal lesions.