The ways to improve the results of the pylorus-preserving gastric resection

Keywords: gastric cancer; lymphodissection; gastric resection.

Abstract

Objective. To enhance the results efficacy of the pylorus-preserving gastric resection.

Materials and methods. Retrospective estimation of results of the pylorus-preserving gastric resection was conducted while various operative procedures application in 64 patients, ageing 34-75 yrs old. The average age of the patients was (52.5 ± 6.2) yrs old.

Results. The patients were divided into two Groups. In Group I (n = 36) the pylorus-preserving gastric resection was performed in accordance to conventional procedure - without identification of infrapyloric arteries and veins as well as vagal branches, innervating pyloric sphincter. In Group II (n = 28) accurate dissection was performed, using special optic technique for preservation of all vascular structures, going to pylorus.

Conclusion. The pylorus-preserving gastric resection owes several advantages, because it prevents the postgastrectomy syndrome development.

Author Biographies

V. V. Grubnik, Odessa National Medical University

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

R. P. Nikitenko, Odessa National Medical University

Nikitenko Raisa Petrivna, MD, PhD(Med), Associate Professor
Department of Surgery No. 1,
Odessa National Medical University,
26/32 Zabolotny str, Odessa, Ukraine, 65025,
380962363303,
nikitenkoraja@rambler.ru

https://orcid.org/0000-0003- 4214-5534

A. N. Kvasha, Odessa National Medical University

Kvasha Oleksandr Mikolayovich, MD, PhD(Med), Associate Professor
Department of Urology and nefrology
Odessa National Medical University
0674868495,
kanuro514@gmail.com

https://orcid.org/0000-0002-4019-9494

V. V. Mishchenko, Odessa National Medical University

Mishchenko Vasiliy Vasilevich MD, DSci(Med), Professor
Department of Surgery No. 1,
Odessa National Medical University,
26/32 Zabolotny str, Odessa, Ukraine, 65025,
0487500116,
https://orcid.org/0002-5951-3463

N. D. Parfentieva, Odessa National Medical University

Parfentieva Natalia Dmitrivna, MD, PhD(Med), Associate Professor
Department of Surgery No. 1,
Odessa National Medical University,
26/32 Zabolotny str, Odessa, Ukraine, 65025,
0996376168,
natali46811@gmail.com,
https://orcid.org/0000-0003-2943-1317

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Published
2021-10-28
How to Cite
Grubnik, V. V., Nikitenko, R. P., Kvasha, A. N., Mishchenko, V. V., & Parfentieva, N. D. (2021). The ways to improve the results of the pylorus-preserving gastric resection. Klinicheskaia Khirurgiia, 88(5-6), 3-7. https://doi.org/10.26779/2522-1396.2021.5-6.03
Section
General Problems of Surgery

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