Narimantas Evaldas Samalavičius
The aim of the study was to evaluate results after total gastrectomy for gastric cancer, performed 2008.01.01-2009.06.30 at the Oncology Institte of Vilnius University.
Methods. 107 patient histories were retrospectively analyzed, for whom total gastrectomy with D2 lymphadenomectomy for gastric cancer was performed using Omega type of ezophagojejunostomy during the periodo f 2008.01.01-2009.06.30. 64 male and 43 female, age range 34-82, on an average 62 years. Majority of patients were operated on in the presence of advanced (stage III and IV) gastric cancer.
Results. Postoperative complications occured in 27 (25,2%) cases, and 3 (2,8%) patients died after surgery. Most frequent complications were postoperative bleeding and lung infection. 10 (9,4%) patients underwent repeated surgical interventions due to postoperative complications.
Conclusions. Postoperative morbidity and mortality after total gastrectomy for gastric cancer at the Oncology Institute of Vilnius University is similar to those reported by other authors. Most frequent complications were postoperative bleeding and lung infection. Further analysis is needed to evaluate oncological and functional results after this prorcedure.
Keyword(s): Gastric cancer, total gastrectomy, complications, mortality.
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