Possibilities of performance of nonstandard operative interventions in patients, suffering early gastric cancer

Keywords: gastric cancer; «sentinel lymph nodes»; operation

Abstract

Objective. To study a possibility of performance of nonstandard organ-preserving operations in patients, suffering early gastric cancer, using application of the sentinel lymph nodes visualization procedures and the lymph node dissection procedure.

Materials and methods. There were performed operative interventions in 35 patients, suffering early gastric cancer (Stages T1 and T2). For identification of sentinel lymph nodes a procedure of luminescence, using green indocyan, was applied.

Results.  In all the patients early gastric cancer was diagnosed (T1,T2). Possibility for performance of organ-preserving operations in early gastric cancer was shown. Miniinvasive interventions in a patient with severe concurrent diseases have appeared sufficiently effective and radical. The patients’ quality of life after laparoscopic pylorus-preserving and organ-preserving operations was significantly better, than quality of life in patients, to whom gastric resection with extended D2 lymph node dissection was done.

Conclusion. There was established, that intraoperative lymphography constitutes he informative method, which helps to estimate the disease Stage in gastric cancer and to apply the adequate scheme of combined and complex treatment. More sensitive is a procedure of luminescence, using green indocyan. Determination of the affection degree of «sentinel lymph nodes» in gastric cancer may serve as an argument for change of the selection tactics while changing the tactics for the operative intervention volume choice.

Author Biographies

V. V. Grubnik, Odessa National Medical University

Grubnik Volodymyr Volodymyrovich, MD, DSci(Med), Professor,
Head of the Department of Surgery No 1
Odessa National Medical University,
26/32, Zabolotny str., Odessa, 65025,
0487500116,
algrub@i.ua,
ORCID: 0000-0003-4389-908X

Yu. V. Grubnik, Odessa National Medical University

Grubnik Yurii Volodymyrovich, MD, DSci(Med), Professor,
Department of Surgery No 3
Odessa National Medical University,
32, Miasoydivska str., Odessa,
surg3@onmedu.edu.ua
https://orcid.org/0000-0002-4025-7105

R. P. Nikitenko, Odessa National Medical University

Nikitenko Raisa Petrovna MD, associate professor
department of surgery No 1
Odessa National Medical University
65082, Odesa, Valikhovskiy lane 2,
0962363303
nikitenkoraja@rambler.ru
https://orcid.org/0000-0003-4214-5534

 

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Published
2019-12-20
How to Cite
Grubnik, V. V., Grubnik, Y. V., & Nikitenko, R. P. (2019). Possibilities of performance of nonstandard operative interventions in patients, suffering early gastric cancer. Klinicheskaia Khirurgiia, 86(11-12), 51-55. https://doi.org/10.26779/2522-1396.2019.11-12.51
Section
General Problems of Surgery